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Dj� EHD LOG NUMBER <br />LD) SAN JOAQuIN COUNTY <br />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 3 <br />PER��IT/SERVICES PUBLIC RECORDS RELEASE APPLICATIO <br />APPLICANT: Abby Racco BUSINESS/AGENCY: 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 />D CHECK BOX TO EXPEDITE REQUEST - $95.00 -FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT �-�� /� t' DATE I ?1 'I ICI <br />Electronic Information: ❑ List [] Map — Description: <br />FILE ADDRESS <br />EHD USE ONL <br />1. <br />2. <br />3. <br />4. <br />5. <br />7. <br />8. <br />9. <br />10. <br />Street # <br />Street Name <br />N. St. Rt. 99 E. Frontage <br />N. Highway 99 <br />N. Highway 99 <br />N. Highway 99 <br />N. Highway 99 <br />City <br />Acampo <br />Acampo <br />Acampo <br />Acampo't <br />Lodi <br />Unit 1 <br />i <br />t" <br />4Unit<774 <br />❑ Unit 5 <br />❑ Unit 6 <br />19690 <br />19690 <br />19501 <br />19256 <br />18846 <br />Specific Date Range of Information Requested: From all available <br />In. <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) Il HOUSING ABATEMENT 13 SOLID WASTE FACILITYNEHICLE <br />0 OTHER CLEANUP SITE (NON -LOP) (� l3 FOOD FACILITY I3 WASTE TIRE <br />0 UNDERGROUND TANK (MONITORING/REMOVAL) pC 13 DOG KENNEL 0 DAIRY <br />0 HAZARDOUS WASTE GENERATO ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT r <br />B TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL I3 PUMPER TRUCK/YARD/CHEM TOILETS <br />TATTOO/BODY PIERCING ❑ POOL/SPA OD LAND USE APPLICATION SITES <br />11 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 />N <br />