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RECEIVED <br />SA N. J OAQ U I N MAY 21 L 2018 Environmental Health Department <br />—COUNTY— PUBLI RECORDS RELEASE APPLICATION <br />Grecrness orcws Fir- aEWpERO <br />• R ILEHD LOG NUIVIBER"ON 30 <br />• <br />0 <br />APPLICANT: TAMARA WOODS BUSINESSIAGENCY:TERRACON <br />ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP: LODI, CA 95240 <br />PHONE (1): 209-269-8586 PHONE (2): FAX OR E-MAIL: TKWOODS@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 1A/node 1:2mnr2 °i.'"'."�:eM.°°'"°.°-a:'°m°"x DATE 5-22-18 <br />1. List up to ten addresses in the spake below. Attlt(x@Mq„yVILL NOT be accepted. Select the type(s) of files from the <br />list below by checking the appropriate box(ed;) 'At°f69f'6W4°'file type MUST be selected. Fax to (209) 464-0138, mail to the <br />address indicated below, or email to inforaDsicehd.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. �_ I <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-5:00PM (EXCLUDING HOLIDAYS) <br />1 Electronic Information: F1 List F1 Map — Description: <br />ALL AVAILABLE YEARS t0 <br />ENVIRONMENTAL <br />9 9 I�- <br />FILE ADDRESS <br />❑ Records provided by Staff -PPR Complete. staff me: EHD 4848 <br />S co -I-9 13' <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />cunt address ranges will not <br />y 9 <br />accepted) <br />be acce ted <br />EHD USE ON Y <br />x❑ Underground Tank (UST) <br />Street # <br />Street Name <br />city <br />Cleanup Site (LOP) /Q�(j)TRACY <br />' <br />2830 <br />AUTO PLAZA DRIVE <br />L] ..ER <br />MX Other Cie anupSite(Non-IOP'lJ <br />❑x Hazardous Waste <br />DAIRY <br />Q Tiered Permitted Facility <br />2 <br />, <br />Z Aboveground Tank <br />HWt NIN W-( <br />PWS <br />❑K UST (Manicuring / Removal) <br />Q Hazardous Materials <br />3 <br />qui,J1211) H�.-c r% <br />,ice "� <br />Q Spill I Release Response <br />ATER DUALRY <br />O Solid Waste Facility I Vehicle <br />4 <br />t <br />Food Facility <br />�I`y���g6��ISM <br />SITE Mr ION <br />Pool I Spa <br />Dairy <br />5 <br />Q Land Use ApplicaI Sites <br />IJ Septic Pumper Truck I <br />8 <br />I,,V \y <br />re-16%W,�,(� <br />, 1 <br />fit R. �--- ❑ Hausxc <br />Yard / Chemical Toilets <br />F] Wastewater Treatment Plant <br />(CUPA <br />F] Housing Abatement <br />T <br />AST I HM I HW <br />F1 Motel/Hotel <br />5rEUPA <br />Chicken Ranch / Dog Kennel <br />Medical Waste Facility <br />8UST <br />Tattoo/Body Piercing <br />ouo WAsre <br />Waste Tire <br />8 <br />Q Complaint <br />- <br />❑ Accourmxc <br />E] Other (Please Specify): <br />10 <br />—BOXED AREA - EHD USE ONLY— <br />S -2 V3 - L'r,L; e ce � t o� PC ',.ia • r�e� oC c,n �.t., e i ti. <br />9 9 I�- <br />9 <br />❑ Records provided by Staff -PPR Complete. staff me: EHD 4848 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />