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DAEIVED SAN JOAQUIN COUN EHD LOG NUMBER <br />,, ENVIRONMENTAL HEALTH DR H <br />, N 2 7 2017 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH <br />5g5ol <br />PERMIT/,1=Renrc'c� PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak GeoEnvironmental <br />ADDRESS: 407 W. Oak <br />CITY/STATE/ZIP: Lodi. CA 95240 <br />PHONE (1): 369-0375 PHONE (2): 365-3222 FAX OR E-MAIL: abby@logelodi.com <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 - $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT Abby Racoc DATE 1-18-17 <br />1. List up to ten addresses in the space below. Select the type(s) of files from the list below 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. 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 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 />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 $130 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From all available to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESSFILES <br />EHD USE ONLY <br />IDI UNDERGROUND TANK (UST) <br />Street # <br />Street Name <br />City <br />CLEANUP SITE (LOP)" <br />` �', CONSUMER <br />® OTHER CLEANUP SITE (NON -LOP) <br />' <br />18626 <br />E. Copperopolis Rd. Linden/Stocktoiir <br />® HAZARDOUS WASTE <br />® TIERED PERMITTED FACILITY <br />2 <br />18704 <br />E. Copperopolis Rd. <br />inden/Stockto <br />DAIRY <br />® ABOVEGROUND TANK <br />❑ PWS <br />® UST (MONITORING/ REMOVAL) <br />_9 <br />® HAZARDOUS MATERIALS <br />3 <br />18638 <br />E. Copperopolis Rd. <br />inden/Stockto <br />® SPILL/RELEASE RESPONSE <br />' <br />4 <br />18190 <br />E. Co peropolis Rd. <br />inden/Stockto <br />WATER QUALITY <br />22 <br />SOLID WASTE FACILITY/ IDLE <br />Fool)FACILITY <br />^ ii <br />` 1 � <br />( 'Jnl SITE MITIGATION <br />POOL/SPA <br />DAIRY <br />5 <br />17986 <br />E. Copperopolis Rd.inden/Stockto <br />,j+0 � <br />❑ LAND USEAPPLICATION SITES <br />B <br />18802 <br />E. Copperopolis Rd. <br />inden/Stockto <br />❑HOUSING <br />SEPTIC PUMPER TRUCK / <br />YARD /CHEMICAL TOILETS <br />WASTEWATER TREATMENT PLANT <br />_yam- CUPA <br />HOUSING ABATEMENT -- <br />T <br />17590 <br />E. Copperopolis Rd. <br />inden/Stockto <br />MOTEL/HOTEL <br />B <br />155 <br />N. Duncan <br />inden/Stockto <br />V CUPA - MAT -'=T <br />- , xZ�,l� <br />CHICKEN RANCH / DOG KENNEL <br />r-1MEDICALWASTE FACILITY <br />` + J' `G <br />_V_ <br />F-]( TATTOO/BODY PIERCING <br />SOLID WASTE <br />S' <br />❑ WASTE TIRE <br />9 <br />791 <br />Drais <br />inden/Stockto <br />® COMPLAINT <br />I <br />OTHER(PLEASE SPECIFY): <br />t Q ACCOUNTING <br />17 <br />"t L)XEU AREA - EHD USE ONLY— &�-j / ' <br />,i <br />1 ❑ Records provided by Staff -PPR Complete. Staff Name: <br />AR-nR <br />