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R_ E. C E E <br />SHAUN 1 ; 2T Environmental Health Department <br />— C U U N T Y - -- PUBLk RECORDS RELEASE APPLICATION <br />_ _..iVV1RQh��iE�;AtH '�2W <br />• <br />PERM RL ��C IT BY EMAIL .�//S 24 :5 <br />EHD LOG NUMBER: <br />APPLICANT: TAMARAWOODS BUSINESS/AGENCY: iERRACONCONSULTANTS INC. <br />ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP: LODI CA 95240 <br />• <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 Woods, Tamara K DATE 7-27-18 <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@slcehd.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 />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />FILE ADDRESS <br />only, ranges will not <br />y 9 <br />be accepted) <br />p <br />` C 0S 2 1S . <br />EHD USE ONLY <br />❑X Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />1 <br />1409 <br />BOEING WAY <br />Stockton <br />CONSUMER <br />/� <br />. No cu a U <br />Cleanup Site (LOP) <br />Q Other Cleanup Site (Non -LOP) <br />❑X Hazardous Waste <br />❑ Tiered Permitted Facility <br />z <br />4114 <br />S. AIRPORT WAY <br />STOCKTON <br />!lt�lAIRY' <br />1�—`{,��',�' ❑ <br />Aboveground Tank <br />"MCI I' CIoijakwh <br />3 <br />4101 <br />S. AIRPORT WAY <br />STOCKTON <br />1—� d^,��W <br />Rn j ❑ PW <br />r��, �}�V <br />V <br />0 UST (Monitoring / Removal) <br />Hazardous Materials <br />n Spill / Release Response <br />Solid Waste Facility /Vehicle <br />i� Food Facility <br />❑ Pool / Spa 0,14 <br />i�Dairy <br />F1 Land Use Application Sites <br />C/\`C <br />Septic <br />Septic Pumper Truck / �`U ` <br />Yard / Chemical Toilets <br />4 <br />4333 <br />S. AIRPORT WAY <br />STOCKTO <br />"F= <br />I <br />. • <br />No pg Q VdATER 4unuT <br />�� �� �) <br />6 <br />4447 <br />S. AIRPORT WAY <br />STOCKTON <br />1RfM(D <br />,�. �� ' <br />'SITE MITIGATION <br />1 I: 31 <br />6 <br />❑ HOUSING <br />❑ Wastewater Treatment Plant <br />15U 1A <br />F� Housing Abatement <br />7 <br />AST I HM / HW <br />Motel/Hotel <br />Chicken Ranch / Dog Kennel <br />Medical Waste Facility <br />8 <br />UPA <br />UST <br />Tattoo/Body Piercing <br />Waste Tire <br />9 <br />❑ SOLID WASTE <br />X Complaint <br />❑ ACCOUNTING <br />Other (Please Specify): <br />10 <br />—BOXED AREA - EHD USE ONLY— <br />2'� 1 <br />1 <br />It 4 <br />❑ Records provided by Staff -PPR Complete. Starr Name: Z rbo EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton; California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />W <br />