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REMVED44 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB U 9 2018 <br /> a-q 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd 1 <br /> �NVIRONMENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION Ct <br /> DCp�ilrTpr^,y__ <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W. Oak St. CITY/STATE/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 XaccO DATE 2-9-18 <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 /> 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 /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From all available to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> �j UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUP SITE(LOP) CONsIIMER <br /> ®OTHER CLEANUP SITE(NON-LOP) ' 451 E. Critchett Ave. Tracy <br /> ®HAZARDOUS WASTE p DAIRY <br /> TIERED PERMITTED FACILITY Y 463 E. Critchett Ave. Tracy <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING/REMOVAL) 3 469 E. Critchett Ave. Trac Iu� Y ❑PWS <br /> ®HAZARDOUS MATERIALS Y <br /> ®SOL ID WASTE <br /> RESPONSE <br /> / AT R QUAUTY _L <br /> SOLID WASTE FAGILTTY/VEHICLE 4 252 E. Critchett Ave. �,TTracy .rl r7 <br /> F1 FOOD FACILITY rtLO Itlyqs <br /> oo�Y/sPA 6 1777 W. Linne Tracy 5m 4�OSe.x4) epar <br /> ❑LAND USE APPLICATION SUES p k�AS' k4 1{to -- - � <br /> F1 SEPTIC PUMPER TRUCK/ 6 26800 S. Kasson Tracy 5In Vv Ge'Ar\ E]HousING <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT -- QJ.,JPA <br /> HOUSING ABATEMENT T 27000 S. Kasson Tracy uyr <br /> MOTELMOTEL <br /> i�CHICKEN RANCH I DOG KENNEL (AL;K PVCUPA-HAZ-MAT <br /> MEDICAL WASTE FACILITY B 26815 S. Kasson Tracy <br /> TATTOO/BODY PIERCING f <br /> I SOLID WASTE <br /> WASTE TIRE y <br /> NJ COMPLAINT <br /> n OTHER(PLEASE SPECIFY): 10 �D Q Accouwil G <br /> • "*BOXED AREA-EHD USE ONLY— <br /> ll-.t& e ile5. <br /> 2Cl ( Dn 2—IL4-1 <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-06 <br />