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la <br /> ■ <br /> ■at EHO LOG NUMBER <br /> I ■ DAr�t� � SAN JOAQUIN COUNTY <br /> �c ENVIRONMENTAL HEALTH DEPARTMENTjV— <br /> Aft <br /> 10a wi <br /> a '4 1868 East Hazelton Avenue, Stockton, CA 95205-6232 OF lvk� <br /> 4hone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> LICANT: Abby Racco BUSINESS/AGENCY; iv p koEnvirpnmfntal <br /> ADDRESS: 407 W. Oak St. CITY7STATE/ZIP:_LA524Q <br /> PHONE(1): (20 69-Q375______ PHONE(2):--(209 3$5-3222 FACSIMILE:�3(2-0377 <br /> Please allow 10 business days from date of application submittal for the,records to be available. <br /> Staff will contact you to arrange ar rointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE REQUFEE SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 9-Z*t,r14 <br /> Electronic Information: ❑List❑Map—Description:_ <br /> FILE.ADDRESS END USE ONLY <br /> /u _ Street if Street Name city unit 1 <br /> 1. 18915 N. Hwy 99 Acampo <br /> _. <br /> 12. 18787 N. Hwy 99 #j Acampo ,j unit - <br /> 3. <br /> s• 3 j-S'b IIE- �eoal h Y�d '` t R1 iv NI ` -`nit 4 <br /> 7. <br /> g, Untt 6 <br /> 9. <br /> 10, )I1 171utut5 <br /> SPeeifiC Date Range of Information Requested: From all avalla to <br /> ENVIRONMENTAL HEALTH D PARTMENT FILES <br /> UNDERGRoUND TANK(UST)CLEANUP WE(LOP) MEDICAL WASTE FACILITY ❑SOLID WASTE FACILMIV ! <br /> OTHER CLEA w SITE(Nom-LAP) ❑HOUSING AHATEMEHT E]WASTE TIRE / f 7 %t"Ey'�° ""' <br /> UNDERGROUND TANK(MoNIf9RINGIREMOYAL) QFooD FACILITY []DAIRY ,t' <br /> AsOVEr>ROUND TANK CHICKEN RANCH/Docs KENNEL WASTEwATEn TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUSMATERIALS ElMOTELIHOTEI. ❑PUMPER TRUCKNARD/CNEMICALTOILm <br /> TIERED PERMITTED FACILITY POoliSPA LAND USE APPUCATtoN SITES <br /> TAT ocf30DY PIERCING COMPLAINTIRESPONSE RECORDS 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERmrr RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1- t Ist uta to ten addresses Irl the space above• Select the types)of flies from the list above by checking the appropriate <br /> box(os). At least ...__. - y ` yg� Address <br /> I.L'If�JtJi'lLf'tit`( %t � �..0>v�:v� � �'�tt�ii.�-i;��,j <br /> ranges will not tx <br /> r l'� w'cYt �t � c r Y Wabove. <br /> 2. For assistance it .' . l ) -(t> <br /> 3. The EHD will not! -----�-^�- if I t tjQ- ( 7i(� �( Imatety ten(10) <br /> {? tA�Y C' r r1 ✓S Ii 4ti ht l i0-I G-l{f: l IPP ' ( 0 DlntmenLs <br /> days after rrcelpt { r/�r RC1 _7 t .+ <br /> should beschedt cti)fvJT-ft{-( 4{hill,1 iii rej'r li4er <br /> 4. Any file not retun ✓a Irk I , , 118. t; toc?2rl? 1 f �i� �iS n 4. `'7 QUSEONLY`"' <br /> Future fits revlsw <br /> .{t P= � � v ` F rr r � r 17 r <br /> I ? t 7Ytfi w C <br /> ❑Records provided by Staff-PPR Complete.Staff Name. <br /> 4128114 <br /> END 48A6 <br /> Received' Time Sep, 29. 2014 2:43PM No., 7164 <br />