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RECEIVED <br />SAN J Q A Q U I N Environmental Health Department <br />COUNTY—- PUBLIC RECORDS RELEASE APPLICATION <br />EN� RON{ AL F ief . � z v <br />. lPl`ellillf7l�ERil EHD LOG NUMBER: <br />APPLICANT: Tamara Woods BUSINESSIAGENCY: Terracon <br />ADDRESS: 902 Industrial Way CITYJSTATEIZIP:�Lodi CA 95240 <br />PHONE (1): 209-269-8586 586 PHONE (2): FAX OR E-MAIL: tkwoodsLjjftrracon.QQEi <br />Piease aiiow iu business days from date of application submittal for the records to be available. <br />Staff will contact you to arrange an annointment date and time to review the requested records. <br />SIGNATURE OF APPLICANTDATE_ 2-12-1 <br />1. List up to ten addresses in the space aeiow. �raaaress1ranges WILL NOT be accepted. Select the types) 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, trail to the <br />address indicated below, or email to info s'cehd.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. L <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 eciFic addresses only, address ranges will not be acts led <br />(Specific y 9 accepted) <br />EHD USE ONLY <br />FILES <br />`( <br />Z Underground Tank (UST) <br />Street # Street Narne city <br />� <br />13 0 S. Hutchins St ` <br />N� <br />Lodi <br />I i [] CONSUMER <br />Cleanup Stile (LOP) <br />.'Other Cleanup site (Non -LOP) <br />r <br />may, Ille,c <br />Waste <br />t�ti �'!1 <br />�, r(f , i Mof> (-u ❑ DAIRY <br />,ffHazardous <br />Tiered Permitted Facility <br />2 <br />13160 West Lane <br />Lodi n <br />nQ �,ri C -y"v��� 0)— <br />Aboveground Tank <br />{,0q-5" q� 'i m� ❑ Pws <br />FUST (Monitoring ! Removal) <br />Hazardnuslvlaterials <br />3 <br />922 Industrial Way <br />Lodi <br />sm %e� , <br />V��.�G t <br />'JaSpill ! Release Response <br />Road ~ <br />Manteca <br />WATER QUALITY <br />0 Solid Waste Facility/Vel <br />4 <br />3243 E. Lathrop <br />E] Food Facility <br />`"Manteca' <br />{ 1 SITE MnIGATION <br />v+^ 1 �l <br />❑ Pool / Spa <br />r-1 Dairy <br />s <br />3275 E. Lathrop Road <br />❑ Land Use Application Sites <br />Truck! <br />Manteca F <br />❑ HOUSING <br />ZSeptic Pumper <br />6 <br />3213 E. Lathrop Road <br />�" <br />Yard / Chemical Toilets <br />Wastewater Treatment Plant <br />I q } ({) nl CUPA <br />Housing Abatement <br />10516 E. Peltier Road <br />,Asappo <br />t��t>rtyC,� � IHMll <br />MoteUHotel <br />_ <br />CUPA <br />UST <br />Chicken Ranch / Dog Kennel <br />El Medical Waste Facility <br />6 <br />Tattoo/Bedy Piercing <br />❑ SOLIO WASTE <br />Waste Tire <br />g <br />gComplaint <br />70 <br />0 AGCOUNMNG <br />'Other (Please Specify): <br />Iso please provide Well &Septic <br />a <br />Permits for addresses <br />0 Records provided by Staff -PPR C <br />***BOXED AREA - EHD USE QNLY**' <br />Staff Nama: <br />1868 E. Hazelton Avenue l Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />LCIM) <br />