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RECEIVE <br /> SAN__JOAQUIN Environmental Health Department <br /> COUNTY--��p�APR <br /> ��j�2�201��� y PUBIC RECORDS RELEASE APPLICATION <br /> ,�G 'aQr . 5; or"s lEv:.GtAYIIf.31-�Qi-i TALHEf��g 1n".�.-IU, <br /> PEnmrrt9ERWES t,7t' �y EHD LOG NUMBER: <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@loge lodl.corn <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 /> SIGNATURE OF APPLICANT t444 ;Dacca DATE April 12, 2018 <br /> 1. List un to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the types)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464.0138,mail to the <br /> address indicated below, or email to info(d),sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. 0 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) P <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPAFILES (Specific <br /> ( p y 9 p ) EHD USE ONLY <br /> S ecifc addresses onlyaddress ran es will not a acce ted <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) '-'-/�"h"� ❑CONSUMER r <br /> ®Other Cleanup Site(Non-LOP) ' Thornton <br /> 8505 W. Stockton St. <br /> • ®Hazardous Waste I' 1 ( El Dear <br /> ®Tiered Permitted Facility 2 8500 W. Alice Ave. Thornton C'ek <br /> ®Aboveground Tank <br /> UST (Monitoring I Removal) Thornton & Walnut Grove Inter ection ❑PWS <br /> ry} Hazardous Materials 3 —Thornton <br /> rN spill/Release Response -- 1 <br /> area Ounury <br /> ®Solid Waste Facility/Vehicle 4 26250 Midsection —Thornton <br /> ❑ Food Facility P'S V <br /> ❑Pool/Spa FAm _ artFE MmcAnoN <br /> ❑Dairy 5 8600 W. Mokelumne Thornton <br /> ❑Land Use Application Sites <br /> yf'tt NN4Mw*lA t,, ❑Houeieo <br /> ❑Septic Pumper Truck/ 0 a W <br /> Yard/Chemical Toilets ws tom!• we'.�h.A-� `J�✓s1Q. ;`� «•1 � 1 <br /> ❑Wastewater Treatment Plant MICUPA <br /> Housing Abatement 7 AST/HM/HW <br /> ❑Motel/Hotel ��� �' "_`�r� _ "' _1 \'`C�nGG ✓1 <br /> ❑Chicken Ranch I Dog Kennel [ UPA <br /> ❑Medical Waste Facility 0 e{r T�n ,.\� UST <br /> ❑Tattoo/Body Piercing (1� �W�ts �^� \h, O Souo WAsrE <br /> ❑Waste Tire g /1 W^tet 1q V�s1.J <br /> Complaint `� - t/V. I"th11n1q�1c('�12. K�� Tj^*^'^'�' �" •/V-1 oC <br /> ❑ <br /> Other(Please Specify): ❑AmouNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. stair Name: aHo ae-0e <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />