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D r,7 <br /> V 11 1V ESAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN 0 9 2009 600 E. Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: Nvww.sjgov. <br /> ENV1RONIMENT HEATH <br /> PERM T/SERVICES PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnylronmental <br /> ADDRESS: 407 W. Oak St., Lodi, CA 95240 <br /> PHONE(1): (209)369-0375 PHONE(2): ---FACSIMILE: 209 <br /> ( ) 369-0375 <br /> TENTATIVE*APPOINTMENT DATE:-June 23, 2009 Time: 9:00 am <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$95.00-FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT /A Ay' i Ii DATE <br /> Electronic Information: ❑List El Map—Description: <br /> I Ad,,.a­ <br /> FILE ADDRESS EHD USE ONL �e ,) Vo <br /> Street# Street Name City Unit 1 <br /> 1. 19690 N. St. Rt. 99 E. Frontage Acampo ) ; z,1b fl a I� <br /> 2. 19690 N. Highway 99 Acampo <br /> 3. 19501 N. Highway 99 Acampo <br /> 4. 19256 N. Highway 99 Acampo it X <br /> 18846 N. Highway 99Lodi <br /> 6. -_ !�,. !� I' �Qt S 11}�! Unit 4 <br /> 1 <br /> 7. <br /> ❑ Unit 5 <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES IP <br /> 10 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE + <br /> 0 OTHER CLEANUP SITE(NON-LOP) ®FOOD FACILITY Q WASTE TIRE •I I} <br /> ❑UNDERGROUND TANK(MONITORING/REMOVAL)ik ❑DOG KENNEL ❑DAIRY W (J <br /> 10 HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 13 TIERED PERMITTED FACILITY v ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS ttt <br /> ❑ <br /> TATTOO/BODY PIERCING ❑POOL/SPA O LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑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 list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition 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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> i r <br /> S4 16 (ekl S w 5 <br /> S� a f E <br /> ZQWQ <br /> � <br /> EHD 48-06 9/13200-web I G pit, qGq- /fir©U� A pot 09 611- 1 j' <br /> ,: iq�► dqC CormY�IZs� !s °`tea-P�,1 a CCn!f y co�o(a�nf• �e>,-kcf 9 <br /> Ct7Mkv DO W ,1,0,V �6 <br />