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ti <br /> ■■ . EHD LOG NUMBER <br /> ■■ ff- MVE"" SAN JOAQUIN COUNTY <br /> ■ <br /> i ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV20j� 1868 East Hazelton Avenue-, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www,sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> �1~rlrlj75lt'IC � PUBLIC RECORDS'RELEASE APPLICATION0-77 � <br /> : : <br /> APPLICANT: Abby Racco _ 13USINESS/AGENCY: Live Oak G@qEnvironmental <br /> ADDRESS: 407 W. Oak St_ CITY/STATEfZIP: Lpdj_Q&R52A0 <br /> PHONE(1): j 09)36 -0375 PHONE (2): (209) 365-3222 FACSIMILE: <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange a�.appointmenf date and time to review the requested records. <br /> CHECK BOX TO EXPEDITE REQIJE (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE i <br /> Electronic Information: ❑List❑Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street A Street Name CRY Unit 1 <br /> 1. I '1L01 $ Aj . -volt', <br /> 2. 11 7'✓'� �� ��It� ---- LJUnit2 ll,, <br /> 3' ( �,. '' I , ' <br /> 4. 14(ry C) tf¢ <br /> ,Q unit 3 <br /> 6. z4= /r Unit Q <br /> 7 <br /> 8 ❑Unit 5 <br /> 9. <br /> 10, ❑unit 6 <br /> SpecHie Date Range of Information Requested: From iW M� Lk to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [I MEDICAL WASTE FACILITY ❑SOLID WASTE FACILRYNE?NCU <br /> OTHER CLEANUP SITE(Nott-LOP) [ HousiNa AaATEMeNT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONrroluNGIREMOVAL) FooD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK a CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAzARoouS WASTE/HAZARDws MgTERw-s ❑MoTELIHoTEI, RUC <br /> TIERED PERMrmD FACILITY Q POOUSPA LAND UsFAPP��7 SM �- OP`I a"F <br /> TATTOWBODY PIERCING G@MPLAINTIRESPoNsE REcoROs ER LEJISpl� 5S"C <br /> WELL AND SEPTIC PERMIT Reooms ARE AWAILABLE FOR REylew; MONDAY-FwDAY 8:00 Am-5:00PM(EXCLUDING H <br /> 1. List ug.to ten addreasos In the,space above. Select the type(s)of tiles from the list above by checking the appropriate <br /> box(es). At least one file"MUST be selected. Fax to(209)4F�d-A138 or mail to _ a_dress Indicated above. Address <br /> ranges will not be accepted.Appticetions received after 3:00 pm will be processed the next businvs$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 hold 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 appl)caint. <br /> Future We reviewo by the samo applicant may require a$125 depoeit prior to review. —BOXED AREA-FHD USE ONLY <br /> ❑ Records provided by Staft-PPR Complete. btafrName: _ <br /> Received Time Nov. 6. 2014 10: 16AM No. 7491 <br />