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RECEIVED I <br />S A N oJ O A Q U I NEnvironmental Health Department <br />COU N T `r' - � PUBLf RECORDS RELEASE APPLICATION <br />q31 <br />s grot h-ElWdiQi MAIL Q llj �" <br />• PEMM EHD LOG NUMBER: <br />10 <br />APPLICANT: TAMARA WOODS BUSINESS/AGENCY: TERRACON CONSULTANTS INC. <br />ADDRESS: 902 INDUSTRIAL WAY CITY/STATEIZIP: LODI, CA 95240 <br />• <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 6-5-18 <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 info(a-)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 />HEALTH DEPARTMENT <br />S ecic addresses <br />(Specific <br />only, address ranges will not <br />9 <br />accepted) <br />be acce ted <br />EHD USE ONLY <br />FILES <br />M <br />`; y <br />Q Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1 <br />2985 <br />E. Loomis Road <br />Stockton <br />1-t ctt{� <br />— ❑ CONSUMER <br />fftdi;;L ,e2k- <br />Cleanup Site (LOP) <br />OOther Cleanup Site (Non -LOP) <br />XD Hazardous Waste <br />2 <br />3112 <br />E. Loomis Road <br />Stockton <br />MN'1-k)A <br />DAIRY <br />❑X Tiered Permitted Facility <br />❑X Aboveground Tank <br />I <br />� �w WS <br />Z UST (Monitoring I Removal) <br />3 <br />2929 <br />HWY 99 W FRONTAGE RD <br />Stockton <br />txes"Lsup- t�M <br />0 Hazardous Materials <br />❑X Spill I Release Response <br />EKNATER QUALITY <br />❑X Solid Waste Facility I Vehicle <br />4 <br />Food Facility <br />ITE MITIGATION <br />❑ Pool I Spa <br />Dairy <br />5 <br />Land Use Application Sites <br />❑ HouswG <br />❑ Septic Pumper Truck 1 <br />5 <br />Yard I Chemical Toilets <br />Wastewater Treatment PlantUPA <br />Housing Abatement <br />7 <br />L <br />AST I HM / HW <br />Motel/Hotel <br />COPA <br />Chicken Ranch I Dog Kennel <br />S <br />UST <br />❑ Medical Waste Facility <br />Tattoo/Body Piercing <br />SOLID WASTE <br />Q Waste Tire <br />9 <br />Q Complaint <br />❑ ACCOUMING <br />Other (Please Specify): <br />10 <br />***BOXED AREA - EHD USE ONLY <br />61-9- N�11, - 1i' -Lr rr zk r(fV_ -4 '5 P9,11,1NC <br />� f r_ '� _' �'lCL to 4'''e <br />❑ Records provided by Staff -PPR Complete. staff Name: EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209468-34201 F 209464-0138 1 www.sjcehd.com <br />