Laserfiche WebLink
Mr <br /> Rr gCEWED <br /> EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> JAN 1.4 2015 1.868 East Hazelton Avenue, Stockton,CA 95205-6232 (71 <br /> Telephone: (209)468 120 Fax: (209)464-0138 Web* www.sjgov.org/ehd <br /> E�{RONMENTALHL PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnyironmentaL. <br /> ADDRESS: 407 W Oak St CITYISTATF-OP; Lodi, CA 95240 <br /> PHONE(1): (2Q9)369-Q375 PHONE(2): (209)365-3222 FACSIMILE: 3toq -034 r <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange mpointment date and time to review the retluested records. <br /> ❑CHECK BOX TO EXPEDITE REQUE YCS ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1-14.15 <br /> Electronic Information: ❑List[]Map—Description: <br /> FILE ADDRESS EHO USE ONLY <br /> Street tF street Name City Unit 1 <br /> 1. 25000 S. Bird Tracy G� <br /> 2. 25144 S. Siad Tracy rll�� untt2 T� <br /> 3. :Z3 21 E . W"11.00 <br /> `�`` <br /> 4. �3 Za {l�e.ra(, . -� 01S 1lnit3 <br /> 7. 20 W�-K•-tcro / <br /> 8. L'. n unit 8 <br /> 9. �. <br /> era-'--Ai t ❑unit e <br /> Specific Date Range of Information Requested: From 1 i]a b1 e to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1jNDERGR01ltm TANK(UST)11 CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILM [I SOLID WASTE FAaL1 WN01fCLE <br /> OTHER CLEANUP SITE(NON-LOP) ❑--II HOUSING ASATEMENT ❑WASiE TIRE <br /> UNDERI3ROUND TANK(MONITOMPIGMEMOVAL) FOOD FACILITY ❑DAIRY <br /> AwvEGROUND TANK CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WAS CEIHATARDousMATERIA/t C]MOTEUHOTEL ❑PUMPER TRuCK/YAAD1CRE"IcALTOILETS' <br /> PERMITTED FACILITY (�POOLISPA ❑LAND U8£APPLICATION SITES <br /> TAZAR <br /> TiERM PERMITTED <br /> PIERCING ( COMpIA1NTIRESPONsE RECORDS ❑07HER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AvAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM�i:00PM EXCLUDING HOLIDAYS) <br /> 1. List un to ten addresses in the spsca above. Select the typo(&)of files from the list above by checking the approprlate <br /> box(es). At(east one file type MUST be Selected. 209) S -01 m roth -04$ ndcatedelL*v_e. Address <br /> ranges will not be accepted.Applications received atter 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 tell(10) <br /> days after receipt of application. The files will be held for a maximum of five business days far 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 expenses Of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review_ <br /> ❑ Records provided by Staff-PPR Complete.Staff Name; <br /> E-'Hb 48.09 <br /> Received Time Jan. 14., 2015 9:53AM No. 7904 <br />