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• <br />• <br />SAN J Q A Q U I N MAY 31 201,5 Environmental Health Department <br />C 0 U L,i T Y _ __ PUB IC RECORDS RELEASE APPLICATION <br />M,A 'JI <br />ENVIRO <br />EMAIL EHD LOG NUMBER: <br />APPLICANT: TAMARA WOODS <br />ADDRESS: 902 INDUSTRIAL WAY <br />BUSINESS/AGENCY: TERRACON CONSULTANTS INC. <br />CITY/STATE/ZIP: LODI, CA 95240 <br />PHONE (1): 209-269-8586 PHONE (2): FAX OR E-MAIL: TAMARA WOODS@TERRACON.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 DATE 5-31-18 <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 infotoD.sicehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />2. For assistance 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. <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 <br />FILE ADDRESS <br />'—"DVD 71i111? 9 <br />HEALTH DEPARTMENT <br />FILES <br />S ecifc addresses <br />(ponly, <br />address ranges will not <br />9 <br />be accepted) <br />p ) <br />EHD USED LY <br />❑X Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />3233 <br />E. Loomis Road <br />Stockton <br />❑ CONSUMER <br />Cleanup Site (LOP) <br />❑X Other Cleanup Site (Non-LOP)co <br />AZjT.W j <br />❑ DAIRY <br />❑X Hazardous Waste <br />❑X Tiered Permitted Facility <br />2 <br />2660 <br />E. Loomis Road <br />Stockton <br />I-uf,fA'j4 <br />Q Aboveground Tank <br />3 <br />2850 <br />E. Loomis Road <br />Stockton <br />�M <br />L -V\' <br />El PWS <br />Q UST (Monitoring / Removal)! <br />❑X Hazardous Materials <br />t� <br />I I w <br />❑X Spill / Release Response <br />}.A M , t'k L,'I <br />ATER QUALITY <br />Q Solid Waste Facility / Vehicle <br />4 <br />2701 <br />HWY 99 W FRONTAGE RD <br />Stockton <br />L ' nuc <br />V1n <br />❑ Food Facility <br />Pool / Spa / <br />5 <br />2807 <br />HWY 99 W FRONTAGE RD <br />Stockton <br />No <br />Q'SITE MITIGATION <br />Dairy l <br />� <br />y�,� <br />�1'1 '^' <br />' 1 YV <br />❑X Land Use Application Sites <br />❑X Septic Pumper Truck / <br />6 <br />2829 <br />HWY 99 W FRONTAGE RD <br />Stockton <br />` <br />f' <br />Yard I Chemical Toilets <br />Pm <br />❑ Wastewater Treatment Plant <br />Q Housing Abatement <br />7 <br />2895 <br />E. Loomis Road <br />Stockton•F <br />CUPA <br />AST/HM/HW <br />Motel/Hotel <br />t <br />0 CUPA <br />F-1ChickenRanch / Dog Kennel <br />3007 <br />E. Loomis Road <br />Stockton <br />UST <br />Medical Waste Facility <br />❑ Tattoo/Body Piercing <br />Fxj Waste Tire <br />9 <br />3018 <br />E. Loomis Road <br />Stockton <br />�;' <br />EgSOLID WASTE <br />0 Complaint <br />tqsT ll <br />' t <br />3164 <br />E. Loomis Road <br />Stockton <br />r, s; <br />❑ ACCOUNTING <br />�I,,,,c� <br />Other (Please Specify): <br />***BOXED AREA - EHD USE ONLI <br />4. <br />11 Owa p SUfi�� <br />6` 05 D 2 . 5 3 <br />❑ Records provided by Staff -PPR Complete. staff Name: 39-3e oas-os <br />complUtnf S CO ON'Imd 5(w 45 irity <br />209 464-0138 I www.sjcehd.com IMUS plI <br />V- <br />Co 00 X513 p co co 1"239 oim ave n Hry fTW 52Cvw3a <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F <br />111 I 1 Ids`' Pr-bvidQd Dan -I- DvD. <br />