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d" <br /> o ijR �a."W � SAN .IOAQUIN COUNTY. No LOG NUMBER <br /> OCT 8 2014 ENVIRONMENTAL HEALTH DEPARTMENT �� <br /> T 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: 209 468-3420 Fax: 209 464-0138 Web:www.s ov.or lehd U <br /> ENVIRONMENTAL HEALTH ) ( ) <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> • A S <br /> APPLICANT: AbbY R.acco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br /> ADDRESS: 407 W. Oak St. CITY/STATE/ZIP: LQd,-C4A-95240 <br /> PHONE(1): J20911369-0375 PHONE(2):-L209) 365-3222 FACSIMILE; 3tol TO'l'�' - <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrarige an appointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE RF-QUEST 25 FEE(CW OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 10-2V-14 r <br /> Electronic Information: ❑List C]Map—Description: <br /> FILE ADDRESS END USE ONLY <br /> Street fl Street Name City unit 1 <br /> 1. 2000 E.Woodbridge Rd. Acampo <br /> 2. 19410 N.Lower Sacramento Rd. Woodtxid e t <br /> 3. 19440 N.Lower Sacramento Rd. Woodbridge fx)A"\ <br /> 4` 93;8 vio a db v-1 o f (I ,duntt 3 <br /> 5. 18 q�a � ac.Ya-rnw�-t� ward 6-►�d � <br /> Unit 4 <br /> - t <br /> 7. <br /> a Unit 5 <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requestad: From all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACBlIYWEVACLE <br /> OTHER CLEAxuP SITE(Nom-LOP) ❑Houstue AsATEmENT ❑WASW TIRE <br /> UNDERGROUND TANK(MONrroRINGIREmovAL) ❑FOOD FACILITY C]DAIRY <br /> ABOVEGROUND TANK ❑CNIcm-N RANCH/DOG KENNEL CJ WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTeftz lRoWs MATERiALs ❑MOTELINoTEL PumPfRTRu6KNARD{CH-=cALTotLm <br /> TIERED PInRNIM0 FACILITY' ❑POOLISPA. LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING ( COMPLAINTIREs.PONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERmrr RECORDS ARE AVAILABLE FOR ReviEW: MONDAY-FRIDAY B:OO Am-6:00pM(EXCLUDING 1401JDAY3) <br /> 1. list up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected- Fax to(209)46"138 or mail to the addreju indicat&d above. Address <br /> ranges will not be accepted.Applications recelved after 3:00 prn will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact END at the number noted above. <br /> 3. The END will notify the applicant If any EHD files exist An appointment for review will be confirmed approximately ten(10) <br /> d"after receipt of application. The files will be held for a maximum of fivo business days for review. Appointments <br /> should be acheduled accordingly. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff at the expense of the applicant. <br /> Future fete reviews by the same applicant,may require a$125 deposit prior to review, '*'gOXFn AREA-END USE ONLY'*' <br /> d Records provided by Stam-PPR Complete.scarf name: <br /> EMO as.aa ArMIA <br /> Received Time Oct. 28. 2014 1 :47PM No- 7423 <br />