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I <br /> ■ g <br /> ■■ f I� TCEE,E� t� EHD LOG NUMBER ' <br /> ' '_- : SAN .1OAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> IN 0 V 06 201'; 1868 East Hazelton Avenue, Stockton, CA 95205-6232 , <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> t~NNiFiUNA4E11TP,,LH ALJ-"jr--111 <br /> ,< , <br /> 1=-rI[;;I�/S"fs�fll��P PUBLIC RECORDS RELEASE APPLICATION `' <br /> F�' <br /> APPLICANT: Abby Racco 6USINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 A _Oak,9 , CITY/STATE/ZIP: Lodi CA 95240 <br /> PHONE(1): � Q��369-0375 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 an appointment date and time to review the requested records. <br /> CHECK BOX TO EXPEDITE REQIJE -$ZR (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE i ( _ —t <br /> Electronic Information: ❑List FJ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Sheat# Street Name City Unit 1 <br /> 1 1 1 ;I g It Lock.,- <br /> E <br /> 2. j I • Sr -—-- <br /> —�- � �(]Unit 2 <br /> 3• � 13�� �� �` <br /> a. 1 c-o a i <br /> -- -- Unit 3 <br /> 5• <br /> 6' unit Q <br /> 7. . <br /> 8. <br /> ❑Unit 3 <br /> 9. <br /> 10, <br /> ❑Unit 6 <br /> SpecKlc Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WAST E FACILITY ❑SOLID WASTE FACIUTYfVE)f7CLE <br /> �y <br /> OTHER CLEANUP STm(NoN-LOP) L_I Nowwm AuATEldEN-T ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORMGIREMOvAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZAROODUS MATERIALS ❑MOTELIHOTFI OARoICHEwca "TIERED PERMITTED FACILITY POOUSPA AMR§ <br /> E APPLtCATtON SITESt coel a FTATTOO/BODY PIERCING COMPLAINTIRESPONSERECORDSPLEASE PECIF oto S C-KWELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAM(EXCLUDING H l CtLtt K1. List up to ten addresses In the space above. Select the type(&)of flies from the cking the appropriate G��box(es). At least one file type MUST be selected. Fax to f209)46"138-mail ticated above. Address <br /> ranges will not be accepted,Applications recolvad after 3:00 pm will be processed the next buainosv day. <br /> R. For assistance in identifying the nature and content of END records,please contact EHD at the number noted above. <br /> 3. The EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after recelpt of application. The fifes 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 reorganl7ed by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 dopoeit prior to inview. "'BOXED AREA-EHD USE ONLY— <br /> ❑ Records provided by Staff-PPR Complete. Staff Nara: <br /> EHD d9-06 L2P:14 <br /> Received Time Nov. 6, 2014 10: 16AM No. 7491 <br />