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i� <br /> r� <br /> D4 � R <br /> DATE RECEIVED EHD LOG NUMBER <br /> SRN JOAQUIN COUNT`( L 'mow Lj 1--w <br /> 07 40 1 <br /> 119 �t�tfIRC�I�I ENTAL HEAL` H DEPARTMENT <br /> 0 RECEIVEL) <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> SEP 03 201- elephone; (209) 468'-3420 Fax: (209)464-0138 Web: www.sjgov,org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENTAL H . <br /> ARMIPMRACE9 Racco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W- Oak St. CITYISTATE/'ZIP;f Q il, CA 95240 <br /> PHONE(1): (209)369-Q375 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 arrange an appointment date and time to review the requested records. <br /> ®CHECK BOX TO EXPEDITE REQUE (�oST-$ FEEC H OR CHECK ONLY)-REQUEST PROCESSEQ IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT I�Ai E a `� i S <br /> Electronic Information: ❑ List❑ map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> ❑ <br /> �• 550 W. Frewert Rd. La. N�l� Unit 1 <br /> it 2 <br /> 3. <br /> y^{�-��!^� -}_. t-�1 � �� Unit 3 <br /> 5. � 2`�(�S c��v i' •f�rCl�.'� t. `�Pi 6�✓' � I' i�.{ <br /> 7. �(vv CI uoit4 <br /> I I i a f- G � (U )- 1`l` = i .q l lei w-,1�cvpity <br /> B. � � ¢-rte vtS O r — `M��W� e� a v 9� Ej Unit 5 <br /> Specific Data Range of Information Rt-quasted: F�Otn io <br /> FNVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILIT [VEHICLE . <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> A9OVEGROUNO TANK 0 CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDAU& ASTEJN4LAP.DOU5MATERlALS ❑&`IOTELiHOTEL PUMPER TRUCK/YARD/CHEMICALTOILETS <br /> TIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING COMPLAINVRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:09 Art-S:QQaM(EXCLUDING F€oLtDAy3 <br /> 1. List un to ten addresses in the space above. Select the type(s)of files from the fist above by checking the appropriate <br /> box(es). At least one flle.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$125 deposit prior to review. '—)-OXED AREA-EHD USE ONLY— <br /> z �7 r;'vv+ 11-�G5• �°'1�+ R.9. �t�e.A'ral- K►'^ di I�. r^►,n� !Z . <br /> 11 Records provided by Staff-PPR C@MPliete.Staff Namo: <br /> EHL)49-08 <br /> 4/28/14 <br /> Received Time Sep. 1 2015 10: 51AM No- 9483 <br />