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ft"WED <br /> gg <br /> JULV. <br /> AN JOAQUIN COUNTY END LOG NUMBER <br /> UL 2 p 2617 (41L ENVIRONMENTAL HEALTH DEPARTMENT fol f9 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL HMLTH Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> • PRMITISER ?CE PUBLIC RECORDS RELEASE APPLICATION __ 17 <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W. Oak St. CITYISTATEIZIP: 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 ,4 b�b1J 2a,(, DATE 7-28-17 <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 /> 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. a <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) ` <br /> Electronic Information: ❑ List 0 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 /> UNDERGROUNu TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) 0 CONSUMER <br /> ®OTHER CLEANUP SITE(Nom-LOP) ' 2000 W. Peltier Rd. Lodi <br /> ®HAZARDOUS WASTE <br /> DAlr+v <br /> TIERED PERMITTED FACILITY Z 2489 W. Peltier Rd. Lodi <br /> ® <br /> ABOVEGROUND TANK �r"�I�L �- (/D <br /> MUST (MONITORING I REMOVAL) 3 21847 N. Davis Rd. , ❑PWS <br /> ®HAZARDOUS MATERIALS Lodi l i <br /> SPILLIRELEASE RESPONSE oe <br /> llL (11 <br /> SWATER QUALITY <br /> OLID WASTE FACILITYI VEHICLE 4 2300 W. Peltier Rd. Lodi , <br /> ®FOOD FACILITY <br /> F1 POOL I SPA SITE MITIGATION <br /> F1 DAIRY 5 <br /> LAND USE APPLICATEON SITES <br /> SEPTIC PUMPER TRUCK I ❑HOUSING <br /> 6 � <br /> YARD I CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT 111 1 UPA <br /> HOUSING AEATEMENT 7 <br /> MOTELIHOTEL <br /> CHICKEN RANCH I DOG KENNEL UPA-HAZ-MAT <br /> 8 <br /> MEDICAL WASTE FACILITY <br /> TATTOOIBOOY PIERCING <br /> SOLID WASTE <br /> WASTE TIRE g <br /> ®COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ACCOUNTING <br /> 10 <br /> 1 —BOXED AREA-EHD USE ONLY*** <br /> i" e CSL ' <br /> L <br /> El Records provided by Staff-PPR Complete. Stan Name: <br /> EHD 48-De <br />