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10EI <br /> R E <br /> . � <br /> SAN EH COUNTY EH <br /> I <br /> D LOG NUMBER <br /> IIS 'ANOV 70�Jr ENVIRONMENTAL HELTH OEPARTfi4I=NT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 . <br /> Telephone: (2'09) 468-3420 Fax: (209) 464-0138 Web: www_sigov.org/ehd <br /> .NVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS*RELEASE APPLICATION <br /> AFFLICANIT y-Racco SUSINESS/AGENm Live Oak GeoEnviron mental <br /> ADDRESS: 407 W. Oak CETY/STATE/ZIP: Lodi, CR 95240 <br /> PHONE.(1); _ PHONE(2): 365_3222 FACSIMILE*. 3B9-0377 _ <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 TQ EXPEDITE RE QL1F3T^ FEE(CASJJ OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List E]Map—Description: <br /> FILE ADDRESS <br /> Street# Streat.Name City END USE ONLY <br /> 3. l��( ,� GLCV^-Cof Unit1 <br /> �,Sg31+ S. �ss� ., L /� `n <br /> 4. Unit 2 <br /> Z 3 5 am S, b S uvv '' <br /> 5. y G�z4S�n fes- C�Ea v�c.�- �� C.Or^095-0 p r' <br /> 'N I S q CoI,l unit 2 <br /> 7. nth <br /> �✓ 0 unit 4 <br /> SITE MITIGATION <br /> 9. <br /> 10. <br /> ❑Unit 5 <br /> fir;Date Range of Information Requested: From <br /> all avnU-hlg tc <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITYNEHICLE <br /> K]I OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT <br /> ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMowL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT Peru? <br /> rr . <br /> 1�J HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOUSPA <br /> ❑TATTOO/BODY PIERCING ❑LANG USE APPLICATION SITES <br /> }�' COMPLAINT/RESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. L, .l up to ten addresses in the space above, Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected, Fax to 2 64-0138 or mall to the address indicated above. Address <br /> ranges will not be accepted.Applications recelved 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 EHI?files exist. An appointment for revlety will be confirmed approximately ten(10) <br /> days after receipt of application. The files wJll 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 conditlori 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. "'BOXED AREA-EHD USE ONLY"' <br /> r)v1 el 14 fue 41- <br /> V C-0, lhrAW US PI(P ! ►ln5 I� V C� r ,�eA o v� C� �r tjoa <br /> 2S,70vh55,9.116_ /7 co-pk�,4 v G?,r3 WOO k37v Cov0K vL713 (3" wAGOrAoI S( 61 <br /> Z3 vo a, v'�n (�. �illC� Cowyd.J,�t Gc7c��7r177 k,r X5I' IG5s0✓r t',1l u' ). <br /> ❑ Records provided by staff-PPR Complete. Staff.Nama: . <br /> END g8-D6 <br /> Received Time Nov. 2. 2015 9: 27AM No, 9931 . <br />