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DARECEIVED SAN JOAQUIN COUN �. EHD LOG NUMBER <br /> .# N 2 7 297 ENVIRONMENTAL HEALTH DA 1: (2 East Hazelton Avenue,Stockton, CA b:ww .sig �51501 <br /> ENVIRONMENTAL NEALTIi Telephone: (209)468-3420 Fax: (209)464-0138 Web:wwwsjgov.org/ehd <br /> PERMITI,F hEs PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W. Oak St. CITY/STATEIZIP: 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 ,Qlzby 2q,cp DATE 1-18-17 <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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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 /> (o UNDERGROUND TANK(LIST) m <br /> Street Street Nae City M- , <br /> CLEANUP SIM(LOP) 1A®OTHER CLEANUP SUE(NON-LOP) ' 18626 E. Copperopolis Rd. inden/Stockto i <br /> ®HAZARDOUS WASTE ❑ <br /> ® DAIRY <br /> TIERED PERMITTED FACILITY Y 18704 E. Copperopolis Rd. inden/Stockto <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING 1 REMOVAL) ❑PWS <br /> ®HAZARDOUS MATERIALS - 3 18638 E. Copperopolis Rd. Linden/Stock-to �� <br /> ®SPILLIRELEASE RESPONSE <br /> WATER QWLLI, <br /> ❑SOLID WASTE FACILrrYI 1 4 18190 E. Co peropolis Rd. inden/Stockto 5 <br /> ❑FOOD FACILITY / <br /> ❑POOL/SPA _ ( Nt Sin MmSATION <br /> ❑DAIRY B 17986 E. Copperopolis Rd. inden/Stockto ,/}W A r <br /> ❑LAND USEAPPLICATION SUES <br /> ❑SEPTIC PUMPERTRUCK/ — B 4IN) L]HODEING <br /> 18802 E. Copperopolis Rd. inden/Stockto r <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT G CUPA <br /> ❑HOUSING ABATEMENT 7 17590 E. Copperopolis Rd. L inden/Stocktoi Il� `F <br /> ❑MOTEI/HOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL B 155 N. Duncan Linden/Stock n • CUPA-reeegontT <br /> MEDICAL WASTE FACUTY ^ x6d t, <br /> ❑TATTOD/BODY PIERCING U''� <br /> E]WASTE TIRE e 791 Drais inden/Stockto '�� Qd SOLID WASTE <br /> COMPUINT <br /> ❑OTHER(PLEASE SPECIFY): RW AOCOURRND <br /> 10 <br /> CIL) 09 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 4846 <br />