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I■ EHD LOG NUMBER <br /> �■ pATrg)C 7 SAN JOAQUI14 COUNTY <br /> i■ �� � L HEALTH DEPARTMENT <br /> ENVIRONMENTAL �) <br /> FEB 0 4 Telephone.{20 )468-3420 Fax68 East Hazelton : 2 <br /> (209)4-0138 Webenue, Stockton, CA 95205-6232 <br /> swww. gov.org/ehd <br /> ENVIRONMEN�AL� � UgLIC RECORDS RELEASE APPLICATION <br /> APPLICANT; Abby Racco BUSINEs3/AGENCY: Live pak OeQEnvironmerdal <br /> ADDRESS: CITY/STATE/ZIP: I nrii C:A A5 4f1 • <br /> PH4PlE(1): 20969-0375 PHONE(2): (209) 365-3222 FACSItiRiLE: 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 arrange an appointment date and tim to review the"ested records. <br /> ❑CHECK BOX TO EXPEDITE FtEQUE $7251 CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2-4-15 <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD U5E ONLY <br /> $tT96t(F Stravt Name City ❑Unit 1 <br /> 1- 19750 N. Lower acre onto <br /> Acam "�^ w T ) � ' • <br /> 2. 2501 E. Woodbridge,__ Acam a -r Unit2 <br /> 3, 1643 E. Woodbrid e Acampa ; <br /> 4. 7-to t W0194bN tN'r- O �(-� Unit3 <br /> s. <br /> -- ❑Unit 5 <br /> $, <br /> 9. �--r`u"r� <br /> knit 6 <br /> 10. <br /> speizific Date Range of Information Requested. FromLO <br /> ENVIRONMENTAL SALT EPARTMENT FILES SOLID WASTt:FACU YIVEWLE <br /> UNDERGROUND TANK(USI)CLEANUP SITE(LOP) MEDICAL❑ ABATEMENT WASI�TIRE <br /> WASTE C&M ❑ <br /> OTHER CLEANUP SITE(NOH-LOP) <br /> UNDERGROUND TANK(MONITORINGIRWOVAL) FOOD FAC{iJTY DAIRY <br /> DAIRYWWE1NATER TfiEAT6A>NT PLANT <br /> ABOVEGROUND TANK ❑MOTELiCHICKEtI RANCH/DOG KENNEL ❑PUMPERTR0CK1YARDICHEMCAL TotLET3 <br /> k(q�DOW WASiE R ARoous MATER4AL5 i�M011 Lf HOTELH <br /> n POOL/SPA LAND USE APPLICATOR SMS <br /> TIERED IERPHTED FACRHY `-' OTHER PLEASE SPECIFY) <br /> TATTOOISODY PIERCING COMPLAINTIRESPflNSE RECORDS ❑ <br /> WELL,AND SEPTIC PERMIT RF-CORDS ARE AVAILABLE roR REVIEW: MONDAY-FRIDAY B:00 Abl b:00PM{EXCLUDING HOLIDAYS <br /> s of flies from the Ilst above by checking the approprddre <br /> I LkLu to in the space stove. Select the type( ) 13B o mail t4 tP►0 address in lcated above <br /> box(os). At least one file type MUST be seiactod. Fag to f20. � <br /> ranges will not be accepted.Applicattons received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in Identifying the nature avid content of EHD records,please contact EHD at the number noted above. <br /> a, Tho EHD will notify the ap pllcant If any EHD files exist. An appointment for review will be,confirmed approximately ten(10) <br /> days attar recelpt of application. The files will be held for a maximum of five buslnee8 day9 for review. Appointments <br /> should be schedulcd accordingly. <br /> 4. Any file not returned In the same condition as released will be reorganized by EHD staff at the s><pense or the appilcaat. <br /> may review. nYCn e�t=A (Vli(2 USE t,�Y"' <br /> Future Cie reviews by the same applicantY reuife®515 deposit prior to <br /> '�� �t <br /> A Lo t c'� <br /> ❑ Records provided by Staff->�pR Complete.staff Name. 4f2ert4 <br /> EtiO 48416 <br /> Received Time Feb. 4, 2015 2:59PM No, 8035 <br />