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pJm RECEIVED <br /> SAN.JOAQUINAPR 12 2018 Environmental Health Department <br /> l µ -COUNTY--- PUBLIC RECORDS RELEASE APPLICATION <br /> 2 t ,, yrC%-,, her'El�1IiI�AI.Ff�A17F1 1M ILA <br /> PERM1rrSERVMS EHD LOG NUMBER: <br /> APPLICANT: Abby Racco BUSINESS/AGENCY: Live Oak Geo Environ mental <br /> ADDRESS: 407 W. Oak St. 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 /> SIGNATURE OF APPLICANT_41M* Raaca DATE April 12, 2018 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138,mail to the <br /> address indicated below,or email to infotolsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistairice in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. y�o <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 to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be ecce ted <br /> ®Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) f, , ❑rasun <br /> ®Other Cleanup Site(Non-LOP) ' 8505 W. Stockton St. Thornton N <br /> • ®Hazardous Waste ❑DA,, <br /> ®Tiered Permitted Facility 2 8500 W. Alice Ave. Thornton <br /> ®Aboveground Tank <br /> GUST (Monitoring/Removal) Thornt n & Walnut Grove Inter ection El PWS <br /> �. Hazardous Materials ' Thornton <br /> Spill/Release Response <br /> ®Solid Waste Facility/Vehicle 4 26250 Midsection Thornton (� �I�II �� A,an ouAmr <br /> ❑ Food.Facility r I <br /> ❑ Pool/Spa HM tj C incAnory <br /> ❑ Dairy S 8600 W. Mokelumne Thornton I <br /> ❑ Land Use Application Sites <br /> yrt l HMIs i-1 W,ti9 �( ❑HDusiac <br /> ❑Septic Pumper Truck/ 6 _1 .f`r <br /> Yard/Chemical Toilets ICI �. W„\t/0,),�\.J�aJ�'„ !(� �wt'T-�Ov� <br /> ❑Wastewater Treatment Plant ` F COPA <br /> ❑ Housing Abatement r ` ` ASTIHM IHW <br /> ❑ Motel/Hotel �� �' `�`C%� "`��n ✓` <br /> ❑Chicken Ranch I Dog Kennel L-OPl tafn' \ UPA <br /> ❑ Medical Waste Facility a „(,t/�.� 1 - ("a^ � ,�e t UST <br /> ❑Tattoo/Body Piercing `l W 11 SOLID WASrF <br /> ❑Waste Tire 9 \�, n[� {f <br /> ( Complaint V (M. IrlA\NH� r�C', KP• TLar�` 'I Y. <br /> ❑Other(Please SpecHy): ❑AcGGuNGNG <br /> to <br /> -*"BOXED AREA-EHD USE ONLY"` I / <br /> • �1"t�'lll'!'F I JA yM r VT r�11•wtr`� - LY�v2 Hl (�' <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: BHo Is INS <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />