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CEIVED <br /> SANh10AQUIN Environmental Health Department <br /> APR 92 203 <br /> — C O U N T Y ---- PUBLIC RECORDS RELEASE APPLICATION <br /> . ea1n Greeineos groes herr "PoNli�FWALWAMi Y,�'r y <br /> PL'MIT1SERNAM-81 N-� EHD LOG NUMBER: �y� <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.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 r4ay caeca DATE April 12 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 infoCp.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. <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 G, , <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) u0 , O a °CONSUMER <br /> ®Other Cleanup Site(Non-LOP) ' 8505 W. Stockton St.N I ornton <br /> ® 02 <br /> Hazardous Waste C '10 fWit °Duar <br /> ®Tiered Permitted Facility 2 8500 W. Alice Ave. N•{ I hornton /V ja^ <br /> ®Aboveground Tank • (� <br /> (RUST (Monitoring/Removal) Thornton & Walnut Grove Intersection °PWS <br /> IN 5 Hazardous Materials a Thornton <br /> rA Spill I Release Response <br /> � <br /> a 26250 Midsection N•r Thornton NOUSt ,No RoeAQ <br /> ®Solid Waste Facility/Vehicle <br /> ❑Food Facility T'� • • <br /> Pool/Spa t"'tMO ��7T NOLa ATE MincAnory <br /> E]Dairy 5. 8600 W. Mokelumne ,�hornton f <br /> ❑Land Use Application Sites <br /> y ,Hn AW,UST (.� <br /> Septic Pumper Truck/ 6cc <br /> Yard I Chemical Toilets 1�'(� �. wv�l'�'\ `J��/'t, ��r� (h 'T'�`r✓� ���y 5 <br /> Wastewater Treatment Plant No lam'+/NQ .!1/Lf CUPA <br /> Housing Abatement T r,y, 1 J d J10 'V/ ?pl HM I HW <br /> Motel/Hotel �. �pin� � �• • 1.O/n <br /> Chicken Ranch/Dag Kennel yt 1'� V CIO <br /> Medical Waste Facility 9 W �J z{r �• �a,^1 _.� �(ff UST <br /> Tattoo/Body Piercing .,O °SOLID WASTE <br /> Waste Tire a r''� •� y•� ^ rV I' <br /> IN Complaint �.l UV. L J a VMA �/�C', ZG . , wz�.' 1 � U <br /> Other(Please Specify): []A= N G <br /> 10 <br /> **((*BOXE/^D�ARE((A-EHD US/E'ONLY*** <br /> -l��lV'CM4l a �. 4,ti QI fJT k`} r�N•`7rM t7� "o- <br /> 4- - a� <br /> 4 <br /> ❑ Records provided by Staff-PPR Complete. staff Name. eHo ae-0a <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 46p-01 8 I ww_wJ�ir�hd.com <br /> `-H 5-l°' f dr VolI co. I <br />