Laserfiche WebLink
RECEIVED <br /> SAN J OAQ U I N Environmental Health Department <br /> -- COUNTY ��R �D�� PU LIC RECORDS RELEASE APPLICATION <br /> �y <br /> i�reeiic�s qrr� I EWRICINIOEWALHMT'H �l{ <br /> PEMAIT/SER+A6;ES N�� EHD LOG NUMBER: VV <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeOEnyironmental <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@loqelodi.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 /> SIGNATURE OF APPLICANT efg* f;Ze DATE April 12, 2018 <br /> 1. List uo 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 info(a)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. I <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) l <br /> Electronic Information: ❑ List❑ Map-Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS �i- <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) tQ Eleav rk <br /> ®Other Cleanup Site(Non-LOP) ' 8505 W. Stockton St.k• hornton <br /> ®Hazardous Waste �g r D Dnim <br /> ®Tiered Permitted Facility P 8500 W. Alice Ave. N { f <br /> ry� Thornton �Q <br /> • • <br /> ®Aboveground Tank <br /> L'q UST (Monitoring/Removal) Thornton & Walnut Grove Inter ection ❑PWS <br /> Hazardous Materials a Thornton <br /> Spill/Release Response <br /> ®Solid Waste Facility/Vehicle 4 26250 Midsection ar Thornton NO USt ,No a.ee Qrva(11TM <br /> ❑Food Facility N\ & a .1 G 0. <br /> ❑Pool I Spa HM N0 a !'r No(a iTa Mmennory <br /> ❑Dairy 5 8600 W. Mokelumne hornton f <br /> ❑ <br /> Land Use Application Sites n/1 <br /> yr'1(Hr'4 rtW,N (AJ <br /> ❑Septic Pumper Truck/ 5 _ (� <br /> Yard/Chemical Toilets I � �. W�\�r1y�'�`Jf �, .,'�•�u�/1 05� ICD <br /> ❑Wastewater Treatment Plant f -^� <br /> C /V <br /> E]Housing <br /> NQ f/ <br /> Housing Abatement r t �0+ • , • 9T M/HW <br /> F] Motel/Hotel <br /> Medical Waste l n <br /> ❑ <br /> F]Chicken Ranch/Dog Kennel LUpI S'IM,s k�,j �f([t 4 1 )'7 I-I.l Facility E W.. LO�� UST <br /> y <br /> ❑Tattoo/Body Piercing Na Souo Waera <br /> ❑Waste Tire g nAll {� <br /> Complaint LV- Iti`1 V,�AQ/OLje� �P• f�4J. 1 O r 1 <br /> ❑ d <br /> Other(Please Specify): �•f Acmurvnrvc <br /> 10 <br /> ***BOXED AREA•EHD USE ONLY*** <br /> 4- 7 3) <br /> 4 <br /> ❑ Records provided by Staff-PPR Complete. staff'Name. sao ag . <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0 8 1 w�Jwvw, j hd.Comf ' n ��j <br /> +j15-1�'• Pro 01UIY 1/om + W. r4 <br />