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DAREEIVED SAN JOAQUIN COON19H <br />EHD LOG NUMBER <br />S��� ENVIRONMENTAL HEALTH Di�L <br />N 2 7 2017 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 />5'501 <br />PERMIT/,1=Rens€� PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br />ADDRESS: 407 W. Oak St. CITY/STATE/ZIP: 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 Abby 'R a,(-- w 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:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map — Description: I <br />Specific Date Range of Information Requested: From all available to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESS <br />EHD USE ONLY <br />LES <br />, <br />UNDERGROUND TANK (UST) <br />Street # <br />Street Name <br />City <br />CLEANUP SITE (LOP) <br />yy� <br />`► ` �' ❑ CONSUMER <br />® OTHER CLEANUP SITE (NON -LOP) <br />' <br />18626 <br />E. Copperopolis Rd. Linden/Stocktol <br />u r <br />® HAZARDOUS WASTE <br />® TIERED PERMITTED FACILITY <br />2 <br />18704 <br />E. Copperopolis Rd. <br />inden/Stockto <br />/ DAIRY <br />`(ice ❑ <br />® ABOVEGROUND TANK <br />I <br />y [3 PWS <br />®UST (MONITORING/ REMOVAL) <br />-- <br />® HAZARDOUS MATERIALS <br />3 <br />18638 <br />E. Copperopolis Rd. <br />inden/Stockto <br />�� <br />® SPILL/RELEASE RESPONSE s <br />4 <br />18190 <br />E. =Operopolis Rd. <br />inden/Stockto <br />WATER QUALITY <br />It <br />SOLID WASTE FACILITY/ ICL <br />FOOD FACILITY <br />^ °i ltl <br />(/��.�, <br />-� <br />��t�� SITE MITIGATION <br />❑ POOL/SPA _ <br />DAIRY <br />6 <br />17986 <br />E. Copperopolis Rd. <br />inden/Stocktol <br />%f'v� <br />❑ LAND USE APPLICATION SITES <br />6 <br />18802 <br />E. Copperopolis Rd. <br />inden/Stockto <br />HOUSING <br />SEPTIC PUMPER TRUCK/ '° <br />YARD / CHEMICAL TOILETS <br />❑ WASTEWATER TREATMENT PLANT <br />'�— CUPA <br />❑ HOUSING ABATEMENT �' <br />7 <br />17590 <br />E. Copperopolis Rd. <br />inden/Stockto <br />❑ MOTEL/HOTEL <br />6 <br />155 <br />N. Duncan Linden/Stockton <br />,,CUPA-MRt-1CIXT <br />I <br />CHICKEN RANCH/DOG KENNEL �^ <br />ij MEDICAL WASTE FACILITY <br />1.. <br />` _` L1L <br />TATTOO/BODY PIERCING <br />l <br />WASTE <br />y <br />❑ WASTE TIRE <br />B <br />791 <br />Drais Linden/StocktoiiOSOLID <br />® COMPLAINT <br />f <br />F-1 OTHER(PLEASE SPECIFY): <br />Q ACCOUNTING <br />le -A P Inl I i I 'r <br />***BOXED AREA - EHD USE ONLY*** I r <br />k Liw Lw^ <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />EHD 48-06 <br />1'3 <br />