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• <br />• <br />11 <br />DArE RECEIVED EHD LOG NUMBER <br />� � SAN JOAQUIN COUNTY <br />SGP 02UI? q _� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />EWROSAL lephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />mRB PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnviron mental <br />ADDRESS: 407 W. Oak St. CITYISTATE/ZIP: Lodi, CA 95240 <br />PHONE (1): 369-0375 PHONE (2): 365-3222 FAX OR E-MAIL: abby@logelodi.com <br />Please allow 10 business days from date of 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 REQUEST- $130 FEE (CASH OR CHECK ONLY)- REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT .Abby RacCa DATE 9-6-17 <br />1. List up to ten addresses in the space below. Select the type(s) of files from the list below 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. Applications received after 3:00 pm will be processed the next business day. <br />2. For 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 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 />qpA <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 $130 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />1 Electronic Information: F1 List ❑ Map — Description: I <br />Specific Date Range of Information Requested: From all available to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESS �t� <br />EHD USE ONLY <br />FILES <br />UNDERGROUND TANK (UST) <br />Street # <br />Street Name <br />City <br />13822 <br />S. Escalon Bellota Rd. <br />Escalon <br />❑ CONSUMER <br />NFF <br />CLEANUP SITE (LOP) <br />® OTHER CLEANUP SITE (NON -LOP) <br />® HAZARDOUS WASTE <br />^ ❑ DAIRY <br />Ol <br />TIERED PERMITTED FACILITY <br />26t)5Q <br />E. Edwards Ave. , <br />Escalon <br />-\ G <br />® ABOVEGROUND TANK <br />13282 <br />S. Escalon Bellota Rd. <br />Escalon <br />1 ' ❑ Ow <br />1 <br />UST (MONITORING / REMOVAL) <br />® HAZARDOUS MATERIALS <br />u to <br />SPILL/RELEASE RESPONSE <br />WATER QUALITY <br />❑ SOLID WASTE FACILITY/VEHICLE <br />4 <br />14694 <br />S. Escalon Bellota Rd. <br />Escalon <br />(AFF <br />❑ FOOD FACILITY <br />SDE MMOATION <br />❑ POOL / SPA <br />❑ DAIRY <br />6 <br />25431 <br />E. Mariposa Rd. <br />Escalon <br />LAND USE APPLICATION SHIES <br />HOUSING <br />❑ SEPTIC PUMPER TRUCK / <br />6 <br />YARD / CHEMICAL TOILETS <br />CUPA <br />❑ WASTEWATER TREATMENT PLANT <br />❑ HOUSING ABATEMENT <br />r <br />(AbT <br />MOTEL/HOTEL <br />CUPA -HAZ-MAT <br />CHICKEN RANCH /DOG KENNEL <br />❑ MEDICAL WASTE FACILITY <br />S <br />TATTOO/BODY PIERCING <br />❑ SOLID WASTE <br />WASTE TIRE <br />D <br />® COMPLAINT <br />❑ ACCOUNTING <br />OTHER(PLEASE SPECIFY): <br />10 <br />'**BOXED AREA - EHD USE ONLY"`* <br />q-�-t—f I E6."A ILL" r 4TTA <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />EHD 4606 <br />