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■ <br /> ■ <br /> : <br /> OATE RECEIVED EHD LOG NUMBER <br /> NN SAN JOAQUIN COUNTY <br /> I■� <br /> �EG((-%..ov ENVIRONMENTAL HEALTH DEPARTMENT <br /> — 1868 East Hazelton Avenue, Stockton, CA 95205-6232 & <br /> Nov 7. 7 t0 f <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> = i t MT+L,,A6 V RaCCO _ a USINESS/AGENCY: Live Qak GeoEnvironmental <br /> ADDRESS: 4-()71N_ pak St ,. CITY/STATE/ZlP:--LD-dLCA 9524- <br /> PHONE (1): (209)369-9375 PHONE(2). (209) 365-3222 FACSIMILE: <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 /> ❑CHECK BOX TO EXPEDITE REQUEST- FEE( R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11-17-14 <br /> Electronic Iriformatlon- ❑ List❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Streat Of Street Name Ciry uprc 1 <br /> Aj <br /> O/J5 <br /> . ZIOtF- A9oorv► <br /> Unit <br /> 3. 1(P43 C, tN0v4x6v)- <br /> d <br /> 4, (�FS N. (P►vf��S�� (.o r.�c 'Unit 3 <br /> 6. 11/�v` /tel ✓_�?!� El Unit <br /> 7. <br /> 8. Q Unit 5 <br /> 9. <br /> 10. Unit ti <br /> Specific Date Range of Information RequasteA: From AA 'A— r to <br /> ENVIRONMENTAL HEALTH DEPARTMENT"FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEMAL WASTE FACILITY 0 50LID WASTE FACILMNEHICLE <br /> 521 OTHER CLEANUP SrtE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONfroRINGIREMOVAL) ❑FOOD FACILITY CI DAIRY <br /> A80VEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WAS-Td UzARDOUS MATERIALS M07ELINOTEL ❑PUMPERTRUCKIYARDICHEwAL TOILETS <br /> TIERED PERMITTED FACILIW ❑POOLJSPA Q LAND USE APPLICATION Sim <br /> TATToO(BODY PIERCING COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERmrr REooRDS ARE AVAIL.A13LE FOR Rr=viE 41: MONDAY-FRIDAY$:00 AM-5-OOPM(EXCLUDINC3 HOLIDAYS) <br /> 1, List up to ten sddrassos In the space above. Select the type(s)of Files from the list above by decking the appropriate <br /> box(es). At feast one fits type MUST be selected. Fax to 1209)46t-Q138 or mail to the addres$fndlcrated above Address <br /> ranges will not be accepted,Applications received after 3:00 pm will be processsd the next business day- <br /> 2- For assistance in identifying the nature and content of EHD records,pleaso contact EHD at the number notod above. <br /> 3. The EMD will notify the applicant If any EHD tiles 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 day©for rovlow. Appolntmonta <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 requira a$125 deposit prior to inview. 'BOXED AREA-t'HD USE QNLY— <br /> if <br /> ❑ Records provided by Staff-PPR Complete.StntfName: <br /> EHD 49-06 4=114' <br /> Received Time Nov, 17. 2014 8. 34AM No, 7563 <br />