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■ <br /> �■ EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ■� ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN 1,4 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephon6: (209)468-3420 Fax: (209)464-0138 Web:www_sjgov.org/ehd <br /> EtdV1RONME(`fEALFIEASL`IH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT. Abby Racco BUSINESS/AGENCY: Live Oak GeoEnyir,Qnmentall_ <br /> ADDRESS: _40 w ak St CITY/STATE121P;_Lodi, QA 95240 <br /> PHONE(1): (209)369-Q 75 PHONE(2): (209) 365-3222 FACSIMILE: 31rR -034 r <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange�I appointment date and time to review the re.,quested records. <br /> ❑CHECK BOX TO EVEDITIF REQUt~ 129 ASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAMS <br /> SIGNATURE OF APPLICANT DATE 1-1 -15 <br /> Electronic Information: ❑List[]Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 3troet# street Ndr. , City unit 1 <br /> 1. 25000 S. Bird Tracy t �� <br /> 2. 25144 s, 13ixd Tracy 1.��`� Unit <br /> 3. :Z,3 21 E. . vV <br /> 4• __•1:3_ <br /> 1.310 C • i4p"A - Unita <br /> 5.• <br /> 6. In•Z� s' u�►�e-(`I-: �. /�•S ❑Unita <br /> Unit s <br /> 9. 4 <br /> 10...... X039ti►` ❑t,nt6 <br /> Specific Date Range or Information Requerstod: From 1i] 1 e to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY El SOLID WASm FAclLmIVEHIcLE <br /> OTHER CLEANUP SITE(NOH-LOP) ❑HOUSING A8ATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORiNG(REMOVAL) FoDD FACILITY 0 DAIRY <br /> ABOVE3RDUND TANK CHICKEN RANCHI Doe KENNEL []WASTEWATER TREATMENT PLANT <br /> PUMPER TRUCKIYARDICREMICAL TOILETS <br /> HAZARDOUS WAS•rElliA7.aRDGUS MATERWI.s �POOL/SPA MOTEulioTEL ❑LAND USE APPLICATION STrE3 <br /> TIERED IBODITTED FACILITY ❑GVER PLEASE SPECIFY <br /> TATTOOIBODY Pit:ftClNi3 (�]COMPLgIN7lRESPONSE RECORDS ( ) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE r-oK REvii:w: MONDAY-FRIDAY 8:00 AM-5:00PM EXCLUDING HOLIDAYS) <br /> 1. List un to ten addr in trio space above. Select the types)of Ries from the list above by checking the appropriate <br /> box(es). At least one filo type MUST be seleated. Fax t (209)4fiA-01 B or m 11 to address indicated va• 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 Blas will bA held for a maximum of five business days for review. Appointments <br /> should be schedulod accordingly. <br /> 4. Any flie not returned In the same condition as released will be reorganized by EHD staff alt e expense <br /> AR AE EHD USE Q applicant. <br /> " <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> ❑ Records provided by Staff PPR Complete.swty Name: arzsr,a <br /> E D d&09 <br /> Received Time Jan, 14-. 2015 9:53AM No. 7904 <br />