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`L/t=1V1=U <br /> DATE EIVED -1I <br /> I � .fib, SAN JOAQUIN COUN END LOG NUMBER <br /> AUSH <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> F 1ViRONIu!I NTAL FpAj_TH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PEPWIT/SEf w-Ej Telephone: (209)468-3420 Fax: (209)484-0138 Web: www sigov.org/ehd <br /> 615451 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATEIZIP: LODI, CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2): FAX OR E-MAIL: tkwoodspterracon.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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-,$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT t <br /> -- PATE 01-03-2017 <br /> 1. List uo to ten addresses in the space below. Select the type(s)of files from the list below 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.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 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 $130 deposit prior to review. <br /> Electronic Information: ❑ List❑ Map - Description: <br /> ENVIRONMENTAL I �f�J l[ I ZIT-( <br /> HEALTH DEPARTMENT FIDE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGROUND TANK(UST) T124t5ltl� <br /> e # Street Name City <br /> CLEANUP SITE(LOP) <br /> OTHER CLEANUP SITE(NON-LOP) N. STRT 99 Al Ac ACAMPO u'a f ' CI CONSUMER <br /> IZ HAZARDOUS WASTE <br /> ®TIERED PERMITTED'FACILITY 2 24327 N.ST RT 99 ACAMPO r �L)��l/�qr O DAIRY <br /> ABOVEGROUND TANK CO' <br /> ®UST (MONfiORENGiREMOVAL) a rA 6 Q PWS <br /> ®HAZARDOUS MATERIALS 3 24323 N.ST RT 99 ACAMPO <br /> ®SPILUREL€ASE RESPONSE WATER QUALITY <br /> Z SOLID WASTE FACILITY 1 VEHICLE 4 24355 N. ST RT 99 ACAMPO k)v r'�0 Co <br /> FOOD FACILITY Al <br /> 0 POOL 1 SPA Al EF <br /> ❑DARY 5 24155 N.ST RT 99 ACAMPO , r ISITr MITIGATION <br /> LAND USE APPLICATION SITES ❑HOUSING <br /> ®SEPTIC PUMPER TRUCKS s 23987 N. ST RT 99 ACAMPO !�L IR"� <br /> ,,t} <br /> YARD CHEMICAL TOILETS A) 6 <br /> WASTEWATER TREATMENT PLANT CUPA <br /> F-�HOUSING ABATEMENT T Crt1cM FA 00100-7 f <br /> F MOTEUHOTEL FA OD I12 L U ✓ " US <br /> E]CHICKEN RANCH i DOG KENNEL t CUPA-HAHMT <br /> El MEDICAL WASTE FACILITY 8 <br /> TATTOOI$ODY PIERCING / <br /> �$01D WASTE <br /> WASTE TIRE 9 <br /> ®COMPLAINT <br /> ®OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> WELL AND SEPTIC PERMITS 10 <br /> For#1,2&3 ADDRESS ONLY <br /> Specific Date Range of Information Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM EXCLUDING HOLIDAYS <br /> *'"BOXED AREA-EHD USE ONLY— <br /> fl _2d o A cy r4 u /- a <br /> 11 Records provided by Staff-PPR Complete. Staff Name: <br />