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DARE1 t 'IVED EHD LOG NUMBER <br /> SAN..IOAQUIN COUN <br /> ,' N�9 ENVIRONMENTAL HEALTH D N <br /> I� ���� 6H <br /> 1868 East Hazelton Avenue,Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> EN PERMIT/SFP L r,r=p,HEAf PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT/;FR1nr€�` <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 A GLGC4 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: <br /> Specific Date Range of Information Requested: From all available to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESSFILEEHD USE ONLY <br /> UNDERGROUND TANK(UST) Street# Street Name City , <br /> CLEANUP SITE(LOP) m�' ❑CONSUMER +(( <br /> ® <br /> OTHER CLEANUP SITE(NON-LOP) pp p <br /> 18626 E. Copperopolis olis Rd. Linden/Stocktoli u t 13 <br /> ®HAZARDOUS WASTE <br /> ❑DAIRY <br /> ®TIERED PERMITTED FACILITY 2 18704 E. Copperopolis Rd. inden/Stockto <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING/REMOVAL) 3 18638 E. Copperopolis Rd. inden/Stockto �� ❑PWS <br /> ®HAZARDOUS MATERIALS <br /> ®SPILL/RELEASE RESPONSE <br /> E]SOLID WASTE FACILITY/ IDL - 4 18190 E. Copperopolis Rd. inden/Stockto 1/n , WATER QUALITY <br /> F-1FOODFACILITY A "r " '� <br /> [:]POOL/SPA _ I 1 r�J�1� SITE MITIGATION <br /> F]DAIRY 5 17986 E. Copperopolis Rd. inden/Stockto ,i+0 _ t <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ 6 18802 E. Copperopolis Rd. inden/Stockto 4N, 11 HOUSING <br /> YARD/CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT }�— CUPA <br /> HOUSING ABATEMENT 7 17590 E. Copperopolis Rd. inden/Stockto �� <br /> MOTEL/HOTEL <br /> ❑CHICKEN RANCH/DOG KENNELr^ CUPA-M rE171 T <br /> MEDICAL WASTE FACILITY <br /> 8 155 N. Duncan inden/Stockto C_e - <br /> t* <br /> ❑TATTOO/BODY PIERCING 11 <br /> WASTE TIRE 9 791 Drais inden/Stockto El SOLID WASTE <br /> y <br /> ®COMPLAINT <br /> f <br /> OTHER(PLEASE SPECIFY): 5� {/'�" , ❑ACCOUNTING <br /> 10 (10 , <br /> I 117 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48.06 <br />