Laserfiche WebLink
DATE RECEIVEDEHD LOG NUMBER <br /> �.�� � � E SAN JQ,ac�ulN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT TM� <br /> � . <br /> [,,,IAR E6 4 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> XlrERIAT/SEAQ CES PUBLIC RECORDS RELEASE APPLICATION <br /> FEi�P�lT1SL�y�CES <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 FACSIMILE: <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 BU&NESS DAYS <br /> SIGNATURE OF APPLICANT Abby Racco DAT E 3-4-16 <br /> Electronic Information: ❑ List ❑ Map--Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> �. 21025 S. Carrolton Rd. NoW19 r <br /> � � <br /> 2. 20991 S. Carrolton Rd. Ripon /u0 ❑ Unit1 <br /> } 3. 21399 S. Carrolton Rd. Ripon <br /> � 4• '1$832 E. Mello Ripon A)0 �'�I.V1r Unit z <br /> � <br /> p No cWN' Elu it zH <br /> 5. 19102 E. Mello Ripon A9- , �' , .N0 a)_M f./l*0 <br /> l-f-]vl <br /> s• 303 S. Reid Ave. dFAq , A;0 jl? No ,D Unit 3 <br /> 7• 0 Reid Ave. (FA0018566, 800001869) o n o ❑ Unit 4 <br /> 8' x SITE MITIGATION <br /> 9. <br /> El Unit 5 <br /> Specific Date Range of Information Requested: From -all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 4- <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0]MEDICAL WASTE FACILITY ❑SOLID WASTE FACIL TYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRED` -� <br /> X1 UNDERGROUND TANK(MONITORINGIREMOVAL)-,;-- ❑FOOD FACILITY ❑DAIRY L&'1 ;+ <br /> 7XI ABOVEGROUND TANK U�-- ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS01, ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY v \ ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) SSCR for 303 S.Reid <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List 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 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, 'BOXED AREA-EHD USE ONLY' <br /> f <br /> Q Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48.86 <br /> 711115 <br />