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RIXEIVkD <br /> DAT O&IJEp 2016 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT 05114 <br /> tsSA(IalC4M�Ett�!€I'dTAL� 1868 East Hazelton Avenue,Stockton,CA 95205-6232 <br /> • PCf� Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <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@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 Abby Ra.C(C DATE 12-9-16 <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(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 It 0) <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. <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 November 2015 to present <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) treet# Street Name City <br /> CLEANUP SITE(LOP) �L"� am <br /> ®OTHER CLEANUP SITE(NON-LOP) 13801 E. Wildwood �r�w 1. �. am - <br /> ®HAZARDOUS WASTE DNHY �'Iq <br /> TIEREDPERMITTED FACILITY <br /> ABOVEGROUND TANK 14629 E. Wildwood Stoc, -�n � � � � � <br /> ®ABOVE <br /> ®UST (MONITORING/REMOVAL) PWS <br /> ®HAZARDOUS MATERIALS 14997 E. Wildwood MOP C" 00 <br /> ®SPILURELEASE RESPONSE <br /> WATER DUALRT <br /> ❑SOLID WASTE FACIUIY/VEHICLE g� 14641 E. Wildwood (/I�t1n <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA - SITE MITIGATION <br /> p DAIRY 14617 E. Wildwood <br /> ❑LAND USE APPLICATION SITES <br /> HOUSING <br /> ❑SEPTIC PUMPER TRUCK/ 14715 E. Wildwood sj�( Oyl ` r <br /> YARD/CHEMICAL TOILETS 44 <br /> ❑WASTEWATER TREATMENT PLANT CUPA <br /> ❑HOUSING ABATEMENT T Triple I i Farming - Jack Tone Manteca tJ <br /> ❑MOTEUHOTEL <br /> CHICKEN RANCH/DOG KENNELCUPA <br /> ❑MEDICAL WASTE FACILITY - <br /> Triple I I Farming - Wildwood <br /> ❑TATTOO/BODY PIERCINGSOLID WASTE <br /> ❑p V I /NI Xf/ -7-WASTE TIRE g � ^ )2I2ILV /fitLE/(/ <br /> IN COMPLAINT IVvr <br /> ❑OTHER(PLEASE SPECIFY): ❑A=UMING <br /> 10 <br /> • ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 4"6 <br />