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DRECEIVE_Q <br /> .SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AU6 1 1 2017 �tww V ENVIRONMENTAL HEALTH DEPARTMENT <br /> �6'L 1868 East Hazelton Avenue,Stockton,CA 95205-6232 <br /> ENVIRONMENTAL HEALTH Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Abby Racco BUSINESSIAGENCY: 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 Al ft 1ZcLccC DATE 8-21-17 <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 12091464-0138 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. N2I�J <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. 't9 r <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 ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) `� / El CONSUMER <br /> ®OTHER CLEANUP SITE(NON-LOP) 6998 S. Bartolomei Rd. Stockton <br /> ®HAZARDOUS WASTE DAIRY <br /> TIERED PERMITTED FACILITY 6900 S. Mobley Rd. Stockton r� r <br /> ®ABOVEGROUND TANK ` <br /> PWS <br /> UST (MONITORING/REMOVAL) <br /> / <br /> ®HAZARDOUS MATERIALS 7066 S. Mobley Rd. Stockton 1�1 <br /> ®SPILL/RELEASE RESPONSE fd WATER QUALITY <br /> ❑SOLID WASTE FACILITY/VEHICLE 7090 S. Mobley Rd. Stockton <br /> FOOD FACILITY <br /> ❑POOL/SPA SITE MITIGATION <br /> ❑DAIRY , 41 7078 S. Mobley Rd. Stockton <br /> ❑LAND USEAPPLICATION SITES YV, <br /> ❑///��� HOUSING <br /> SEPTIC PUMPER TRUCK/ 6 /' <br /> YARD/CHEMICAL TOILETS N1 <br /> M 7 <br /> ❑WASTEWATER TREATMENT PLANT COPA <br /> ❑HOUSING ABATEMENT T <br /> ❑MOTELIHOTEL <br /> ❑CHICKEN RANCH/DOG KENNELJ' M—� - l / C 7 /� CUPA-HAZ-MAT <br /> 0 W ` <br /> ❑MEDICAL WASTE FACILITY , J <br /> ❑TATTOO/BODY PIERCING Ir ,K& SOHO WASTE <br /> E]WASTE TIRE g t <br /> M COMPLAINT <br /> OTHE0.(PLEASE SPECIFY): ❑ACCOUNTING <br /> 10 <br /> •*BOXED AREA-EHD USE ONLY*** <br /> J PC D �- • V-1 <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br />