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�; � � EHD LOG NUMBER <br /> D/17) 11� LUj SAN JOAQUIN COUNTY <br /> {U,,US k(��ff�� ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUN Q 9 2009 600 E. Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov <br /> ENVIRONMENT HEALTH f3T?q <br /> PERh1IT/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 Time: 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-$95.0(LFEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ! -i ��{' DATE <br /> Electronic Information: ❑List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street p Street Name City ❑ Unit 1 <br /> 1. 19690 N. St. Rt. 99 E. Frontage Acampo <br /> 2. 19690 N. Highway 99 Acampo jA4) _ ❑ Unit 2 <br /> 3. 19501 N. Highway 99 Acampo OC <br /> 4. 19256 N. Highway 99 Acampo unit 3 \ <br /> 5. 18846 N. Highway 99 5Lodi /�/ unna <br /> 1�1 <br /> 7. <br /> LJ Unit 6 <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From all available to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E3 HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> 0 OTHER CLEANUP SITE(NON4-OP) ❑FOOD FACILITY ❑WASTE TIRE <br /> 0 UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL O DAIRY <br /> 0 HAZARDOUS WASTE GENERATOR O CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOO/BODY PIERCING 13 POOL/SPA 0 LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY 0 OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REy1Ew - MONDAY-FRIDAY 8:00 AM-fi:00PM - EXCLUDING HOLIDAYS. <br /> 1. List up to ben 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 ben(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 /> END484111 9!132006 web <br />