Laserfiche WebLink
r,+_,11 EHD LOG NUMUER <br /> 1+�, 1 SAID JOAQUIN COUNTY <br /> o ENVIRONMENTAL HEALTH DEPARTMENT <br /> NOV 0 6 2014 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: WWW.sjgov.org/ehd U <br /> ENVIRRMMENTAL/8-ERVCEALTH PUBLIC RECORDS RELEASE APPLICATION I� r � r, <br /> PERMIT/SERVICES U <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak QggEnvironmental <br /> ADDRESS: 4_07_VV_ ak St- CITY/STATE/ZIP:LQdi,CA 95240 <br /> PHONE,(1): 0375 _ PHONE(2):. (209) 365-3222 FACSIMILE: 3(oGl <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange ap appointment date and time to review the requested records. <br /> %CHECK BOX TO EXPEDITE REQUE -$' (CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 1 40-1 �- <br /> Electronic Information: ❑List❑Map,–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name S City Unit 1 <br /> �. I LAI$ IV . 'f-.211 ted • <br /> LDSIL <br /> 2. �� �J(� --- Unit I� <br /> 9 S" I-- 1. U <br /> 3F. <br /> 4. 14WDC> c' APIA <br /> Unita <br /> 6. / fJnB 4 <br /> 7. <br /> $, ❑Unit S <br /> 9. <br /> 10, I]Unit 6 <br /> Spoemo Date Range of information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACIUTYNE111CLE <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT ❑WAsTE TIRE <br /> rORINGlREtmvAL) <br /> UNDERGROUND TANK(MONrFOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK F1 CHICKEN RANCH!DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WAsTWHAzAe0009 MATERIALs ❑MOTI~ttHOTEL <br /> TIERED PERMITTED FACILITY []POOL/SPA LAND USE APPLICATION SITES •1-CC, <br /> TATTOO/BODY PIERCING COMPLARdT/REsPoNsE RECORDS ER LEASE PeCIF plpt, S G� <br /> WELL AND SEP71C PERMIT RECORDS ARE AVAILABLE FOR REview; MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HI ctul <br /> 1. List the un to ten addresses In tspace above. Select the type:(&)of tiles from the list above by Checking the appropriate 6K-� <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to.t .address indicated above. Address <br /> rangAa 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 vol be confirmed approximately ten(10) <br /> clays after receipt of application. The files will be held for a maximum of five business datya 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$125 deposit prior to review. —BOXED AREA-EHD USE QNL,Y"'"` <br /> 0 Records provided by Staff-PPR Complete.staff Name: 11 <br /> E D.t8 ,1rj,1�l11 <br /> Received Time Nov. 6, 2014 10: 16AM No. 7491 <br />