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SANRECEIVED <br /> Environmental Health Department <br /> r3v —COUNTY f sh 9 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> • tt =o4 Greotness grcv,, h, EWRONMENTALIFIMZ'tll <br /> PERMIT/SERVIII 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@logelodi.Com <br /> Please allow t0 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 trfry x1aeea DATE March 9, 2018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)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 infotbb)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 /> Z <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. J <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 to 2 <br /> ENVIRONMENTAL FILE ADDRESS 1� Co. v41 <br /> 3"2 <br /> HEALTH DEPARTMENT (Specific y g p <br /> FILES addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) I In ND p CorvsuMEe <br /> ®Other Cleanup Site(Non-LOP) ' 11418 E. COmStock StOCktOn NW <br /> ®Hazardous Waste ' fif <br /> uo I Q [I dam <br /> ®Tiered Permitted Facility 3 6655 N. Beecher Stockton <br /> ®Aboveground Tank D l^ <br /> �. UST (Monitoring/Removal) %, — 1. <br /> IN Hazardous Materials a 11624 E. Baker Stockton No c0(5 <br /> N Spill/Release Response Ftm <br /> ®Solid Waste Facility/Vehicle 4 11296 E. Baker Stockton 140�(��`� W"'En°°�'N <br /> Food Facility HA1 Ar z ,o Wit9 <br /> Pool/Spa N O IF ME Mmcnn.. <br /> F-1Dairys 11781 E. Comstock Stockton NO to <br /> Land Use Application Sites 5m <br /> I <br /> Septic Pumper Truck/ a 11090 E. Baker Stockton C]HmJc1NG CDYard/Chemical Toilets UST — <br /> �Wastewater Treatment Plant �yT P -1l <br /> F] Housing Abatement Y 11181 E. Baker Stockton �t,!! AST I HM IHW <br /> ❑Motel/Hotel LAST /.9 <br /> Chicken Ranch/Dog Kennel CUPA <br /> F-1Medical Waste Facility 8 <br /> UST <br /> Tattoo/Body Piercing <br /> Sou.Wears <br /> Waste Tire g <br /> Complaint <br /> Other(Please Specify): p Accourmnc <br /> 10 <br /> "'BOXED AREA-EHD USE ONLY'- <br /> • 3..K-I u' -CA ode rn e rzCe'r , u P .�Ls,re o <br /> ❑ Records provided by Staff-PPR Complete. staff Name: BHo ossa <br /> 1868 E. Hazelton Avenue l Stockton, California 95205 i T 209 468-3420 1 F 209 464-0138 1 www.sjGehd.com <br />