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EHD LOG NUMBER <br /> ted SAN JOAQUIN COUNTY <br /> Ii N� 5 ENVIRONMENTAL HEALTH DEPARTMENT <br /> Ny , a3 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> q�0ti �g hone: (209)468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> LICANT: Abby Racco BUSINESSIAGENCY: Live 00k Ge0E0ViMoMgnta1 <br /> ADDRESS: 407 W. Oak St. CITY/STATE0P:_LQ{iSA 95220 <br /> PHONE(1): &2Q 389-037,x_ PHONE(2): 209 365-3222 FACSIMILE: 369-0377 <br /> Please allow 10 business days from date of application submittal for the,records to be available. <br /> Staff will contact you to arrangaa1i �pointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXPm1TE REQUEST 125 FEE SH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 9-Zf.-14 <br /> Eleceronlc Informatlon: [IList[3Map-Description: <br /> FILE ADDRESS END USE ONLY <br /> atrbet o Street Name City 0 U It 1 <br /> 1, 18915 N. Hwy 99 Acampo Tj <br /> 2. 18787 N. Hwy 99 ACampo unu 63. 00,11.9 nr. R li g I <br /> i <br /> r7. <br /> ! q°IM- U44Unh 6 <br /> ❑unit 6 <br /> SpecHia Date Range of Informadon Requsstod; From all avto <br /> ENVIRONMENTAL HFALTH DP�RTTMENT FILE$ <br /> UNDERGROUNOTANK(UST)CLEANUP SnE (I(LOP) MEDICAL WASTE FACILITY ❑SOLID WASTE FA"11Y J/ <br /> OTHER CLEANUP Sim(NON-LOP) C]HOUSING ARATEMFWT El WASTE TINE 1 f� lP��"" <br /> UNDERGROUNDTANK(MdinoRMGIREmOYAL) r❑FOOD FACILRY ❑OAS <br /> ABOVEGROUND TANK ❑CHICKEN RANCNI Doe KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUNPERTRUCKfYARDICHEMICALTOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA ❑❑LAND USE APPLICATION SITES <br /> TATTOo(BODY PIERCING COMPLAINTIRESPONSE RECORDS Q OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORoS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY$:00 AM5;00PM(EXCLUD)NG HOLIDAYS) <br /> 1. List u to ten addresses In the space above. Sslact the type(&)of files from the list above by eheMng the appropriate <br /> box(es). At least '• - - - OG�.3-t{ 7�G1 Ek'r-.G'fi Yo. Address <br /> rent as willist not br 10-)Lf-IU IW. �kb y el9' : e � -1.-t! " `)`' <br /> 2. For assistance Ir tp t)Q_(,�C)iJz 70�0�Cl'�)"`L<%d/�2'"fx�{�{ >d above. <br /> 3. The END will Holtay-t i a� attic_ )ice i T #�O 6� Clq- (pf9J'�lo�4� I nately ten(10) <br /> /r oaV'F �A�'K/U !I-Vv. B- i0-it.f: 1'g ('i� olntrnents <br /> day&aker receipt IL 1'/'";� /� } Op7/fN�%&R'ffi0 <br /> should be schedlIr S,Ot�,7-(V�`IvitiA.-a..,a '7- -lNRi fPfvrl� T �C,' <br /> Q. AnWfi file rs twew.l (M ti 18. CP OW2c1? 7(r� 510.(,)Is,A 'i�- - �4 0 D applicant. <br /> ' <br /> 7 l 11 7 1 <br /> P1 <br /> C3 Records provided by Staff-PPR Complete,$tRffName: <br /> uza�u <br /> EHbApAa ` <br /> Received time Sep, 29. 2014 2:43PMNo,-7164 <br /> c <br />