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I■ DATE RECEIVED = j * LEHD LOO NUMBER. <br /> ng SAN JOAQUIN COUNTY T '�a h <br /> aa� RECEIVE® ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> SEP Q 3 2015 elephone; (209)468-3420 Fax: (209)464-0138 Web:Wvvw.sJ90V.Or9/ehd <br /> PUBLIC RECORDS RELEASE <t [ON <br /> ENVIRONMENTAL <br /> AFWMMM-R'A0N Racco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W. Oak St. .CITYISTATE/ZIP;-LQdi. CA 95240 <br /> PHONE (1): X209)369-0375 _ PHONE(2): 209 366-3222 FACSIMILE: 369-0377 <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment ppointment date and time to review the rec)uested records, <br /> ®CHECK BOX TO EXPEDITE REQUEST-$ FEE C H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> EI®ctronic Information: ❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city <br /> ❑Unit 1 <br /> 1• 550 : W. Frewert Rd. - <br /> 2. .z.X70�' S. M /1_d �` `''R'Y1Z- 42J ;. <br /> 3. 2//5co5 rYl -Yl't (�/�yr/ <br /> 4.. rTW W• Klo t` Y `�.0 1/Jnit3 I <br /> 5. ( 29(�$- S. ✓I'lrv✓1'11A `� T RLj 164 fj . <br /> 7. ZS-(v Cr-6A) . Grit (Su C <br /> 12 Unit <br /> t4111A.ttLl fey a�J ( icy <br /> 9 Unit 5 <br /> �€E� ��� r' agc C✓�G�N <br /> [71-UnR76 <br /> SpeclBc Date Range of Information Requested: From u.; to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE . <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTETIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK El CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTFJHAZAP.DOUS MATERIALS ❑MIOTELIHOTEL ❑PUMPERTRUCKIYARD/CHEMICALTOILETS <br /> 'TIERED PERMITTED FACILITY ❑POOL(SPA ❑LAND USE APPLICATION SITES <br /> TATToO18ODY PIERCING [ COMPLAINTIRESPONsE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00 AM-5:00PM(EXCLUDING HOLIDAYS <br /> 1. List uo to Een addresses in the space above. Select the types)of files from the list above by checking the appropriate <br /> box(es). At least one tlle.type MUST be selected. Fax to_!2081464-0138 or mall 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 confinned approximately tan (10) <br /> days after receipt of application. Tfie files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 4. Any We 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$125 deposit prior to review. ""BOXED AREA-EHD USE ONLY••* <br /> =ProvIded <br /> v l„Mt G D mf € kl R Po C Pe {or <br /> ¢!' )t 1i 12 f-Wntv�j Al <br /> aff-FPR Complete.Staff Name: <br /> EHb mea <br /> 4126114 <br /> Received Time Sep. 3. 2015 10: 51AM No. 9483 <br />