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D ;�r � EHD LOG NUMBER <br /> (� II 1� L�� SAN JOAQUIN COUNTY <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 /> ENVIRCNIMENT HEATH <br /> PER1M11T/SERVI0ES PUBLIC RECORDS RELEASE APPLICATIO 0 <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) 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 6.i {i DATE <br /> Electronic Information: ❑List[] Map—Description: <br /> FILE ADDRESS EHD USE ONL <br /> Street# Street Name City <br /> Unit 1 <br /> 1. 19690 N. St. Rt. 99 E. Frontage Acampo �'I .� ::� ? FJ/� �.� <br /> 2. 19690 N. Highway 99 Acampo /\ <br /> 3. 19501 N. Highway 99 Acampo <br /> 4. 19256 N. Highway 99 Acampo <br /> 5. 18846 N. Highway 99 Lodi ~r \ <br /> unit 4 <br /> 6. <br /> 02 <br /> 7. <br /> ❑ Unit 5 <br /> 8. <br /> 9. <br /> El unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES �IP <br /> lt) <br /> El UNDERGROUND TANK(UST)CLEANUP SITE(LOP) p HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE J <br /> ❑O OTHER CLEANUP SITE(NON-LOP) r�, ID FOOD FACILITY Q WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL)(k 11 DOG KENNEL ®DAIRY <br /> El HAZARDOUS WASTE GENERATO O CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT r <br /> 0 TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOOBODY PIERCING ❑POOUSPA EI 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 /> e 1 l <br /> S ftl'"A L12S Cv a S <br /> 5/, a ca 4 &12 1 <br /> EH048-06 9/13/2006,web l y��t,J,, / 4y qq /I`O Ut ,��� �//� j) <br /> Iti IPl C 11'r�r fl(Vl�Lt11'1Vui�7t0A tn�/If)�J-/X�_�' 1 / �' �Q�PL�I �. f J 0 <br /> �.,: �q:ill I �Q� CgVVI ain�-"�GO�1 ZCj(rs QCh(� Q (,�i'j,+ y f;OMO��nf• IP,f'l�-�f� � <br /> COM M i Ib f to.4u d ox- E,9, <br />