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DIM [�' [I VF-LD� 11.� SAN JOAQUIN COUNTY *.W SAN <br /> LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN 0 9 2009 600 E. Main Street, Stockton,CA 95202-3 2 A�7 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sw.sjgov J <br /> ENVIRONMENT HEALTH // <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATIO <br /> APPLICANT: Abby Racco BUSINESSIAGENCY: Live Oak GeOEnvironmental <br /> ADDRESS: 407 W. Oak St., Lodi, CA 95240 <br /> PHONE(1): (209)369-0375 PHONE(2): FACSIMILE: (209) 369-0375 <br /> TENTATIVE"APPOINTMENT DATE: June 23, 2009 —rim: 9:00 am <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST--$96..0000 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE (41&'! <br /> Electronic Information: ❑List® Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 19690 N. St. Rt. 99 E. Frontage Acampo <br /> 2. 19690 N. Highway 99 Acampo ❑ Unit 2 n <br /> 3. 19501 N. Highway 99 Acampo \' \ <br /> 4. 19256 N. Highway 99 e,, Acampo unit 3 <br /> 5. 18846 N. Highway 99 5Q�- Lodi <br /> Unit 4 <br /> 7. <br /> ET—U­nit s <br /> 8. <br /> g. ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested: From all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) L3 HOUSING ABATEMENT 0 SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) O DOG KENNEL O DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR 0 CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL L3 PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOO/BOOY PIERCING ❑POOUSPA 0 LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDAYS. <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)464-0138 or mail to the address indicated above. Address <br /> ranges Will not be accepted—for additional assistance with file addresses,contact the EHD.Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <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$95.00 deposit prior to review. <br /> EHD USE ONLY <br /> EH048AG 9/1 2 .,ab <br />