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1 , <br />RECENED <br />"' a'"�f t� D LOG NUMBER <br />1It <br />SAN JOAQUIN COUNTY ,' r� ;,;, h. <br />1� ENVIRONMENTAL HEALTH DEPA l 'MENt P F` y 'Iq -ALI <br />SEP 3 0 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 v <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov_org/ehd <br />PENVIRONMENT„LF1rEbLTw pUBLIC RECORDS RELEASE APPLICATION <br />pCPa� FAaT�'.r�esf t1 Pl�ae -- ra.��� w�. ii <br />APPLICANT: AbbV RaCCO 13USINESS/AGENCY: Live Oak Geo Environmental <br />ADDRESS: 407 V. Oak St. CITY/STATE/ZIP: Lodi, CA 95240 ' <br />PHONE (1): 369-0375 PHONE (2): 3,05-3222 FACSIMILE: 369-0377 <br />Please allow 10 business days from dateof application submittal for the records to be available. <br />Staff will contact you to arrange an appointment date and time to review the requested records. <br />® CHECK BOX TO EXPEDITE REOU - 130 F CASH OR CHECK ONLY) -REQUEST PROCESSIED IN 3 BUSINESS DAYS - <br />SIGNATURE OF APPLICANT-- / ( DATE <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />Streat # <br />Straol Nemo <br />City <br />1• <br />9010 <br />W. Howard <br />Stockton <br />"I, <br />Unit <br />2- <br />9000 <br />W. Howard <br />3• <br />8990 <br />W. Howard <br />Stockton <br />K* ❑ Unit 2 <br />4, <br />9009 <br />W. Howard <br />Stockton <br />kX-F f <br />1'044 L4 ie Lo Unit3 <br />5•. <br />7757 <br />W. Undine <br />Stockton <br />b• <br />Tracy Blvd_ (Unocal) <br />Stockton <br />7• <br />7780 <br />W_ Undine <br />Stockton <br />(y <br />'�" t 19 Unit 4 <br />8• <br />15410 <br />S.. Tracy' <br />St <br />Its -I dS - SITE MITIGATION <br />g. <br />9030 <br />W. Howard <br />Stockton <br />lv <br />F1Unit 5 <br />10. <br />Specific Dais Rango bf infoemation nequasted; From all available <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES' <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY ❑ SOLID WASTE FACIUTYNEHICLE <br />® OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ❑ WASTE TIRE <br />® UNDERGROUND TANK(MONITORINGIREAIOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />21 AEOVEC°OUl L'TANK ❑ C ;ICK€t. P.ANCNI008 KENNEL❑ :"JASTEWATER TREAT.""ENT PLANT <br />® HAZARDOUS WASTEMAZARDOUS MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />® TIERED PERMrrfED FACILITY ❑ POOL/SPA r❑ --11 LAND USE APPLICATION SITES <br />F1TATTOOIBODY PIERCING COMPLAINT/RESPONSE RECORDS LJ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br />1. List up to ten addresses in the space above. Select the type(s) of files from the fist above by checking the approprlate <br />box(es). At least one file type MUST be selected. Fax to (209) 464-0138 or mail to the 6ddree6 indlcatod abovo. Address <br />ranges will not be accepted. Applications received after 3:00 pm will be processed the next business day. <br />2. t6r assistance in.identifying the nature and content of EHD records, please contact EHD at the number noted above. <br />3. The EHD will notify the applicant if any LHD files exist. An appointment for review will be confirmed approximately ten (10) <br />days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br />should be scheduled accordingly: <br />4. Any file riot returned In the same condltlon as released will be reorganized by EHD,staff at the expense of the applicant. <br />Future file reviews by the same applicant may require a $130 deposit prior to review. —BOXED AREA - EHD USE ONLY"" <br />e,�jle tie"4 Cltr0,- "4 joto V1, Co. f0vi)(a 6l0 tld 4' qo,9140t.4ark4&. <br />14Pl4't E'1(66 Ear x'100 ® thea 2 elm 't� C 1 `VA C l-551 10,r 010ciP <br />❑ Records provided by Staff -PPR Complete: staff Name: <br />EHD 48-06 <br />Received Time Sep, 30, 2015 9;47AM.No. 9673 <br />M/16 <br />I% . <br />KOM <br />