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RH! E SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />��� j ZQ�� HTkl�ti� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />EHD LOG NUMBER <br />06CL53 <br />ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: TA MY WOODS BUSINESS/AGENCY: TERRACON <br />ADDRESS: 902 INDUSTRIAL WAY CITYISTATEIZIP: LODI, CA 95240 <br />PHONE (1): 209.367.3701 PHONE (2): FAX OR E-MAIL: tkwoodspiarracon.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 -n$13�,0FEE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT 1li-W e .` q I ( _E- D DATE 8-21-17 <br />1. List up 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 (2091464-0138 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. P!i /7 r) <br />lq <br />4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. 'Q <br />Q.......0 ale reviews 6v tHp came nnnlicant may require a $130 deposit prior to review. <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 />R RnxFD AREA - EHD USE ONLY— <br />VORAn r 9rL AJ al,we <br />15 I <br />❑ Records provided by Staff -PPR Complete. staff Name: <br />0 vi- JA , <br />Electronic Information: ❑ List ❑ Map —Description: <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESS <br />EHD USE ONLY <br />FILES <br />L \ <br />N UNDERGROUND TANK (UST) <br />CLEANUP SITE (LOP) <br />N OTHER CLEANUP SITE (NON -LOP) <br />N HAZARDOUS WASTE <br />N TIERED PERMITTED FACILITY <br />City <br />1333 <br />E. Turner Road <br />LODI <br />CONSUMER <br />RY <br />f <br />955 <br />N. Guild Avenue <br />LODI/ <br />10 D-NRY <br />( f7 lLt <br />® ABOVEGROUND TANK <br />® UST (MONITORING / REMOVAL) <br />® HAZARDOUS MATERIALS <br />1030 <br />N. Guild Avenue <br />LODI <br />1 [] PWS <br />� IHI <br />�1v�llN1Y/ <br />NSPILURELEASE RESPONSE <br />❑ SOLID WASTE FACILIW I VEHICLE <br />4� <br />758 <br />N. Guild Avenue <br />LODI <br />WATEROUA TY <br />❑ FOOD FACILITY <br />❑ POOL I BPA <br />❑ DNRY <br />1 <br />Winemaster Way <br />LODI <br />1 ,�^. <br />Lt� $ITE MITIGA9OY <br />T} <br />LAND USE APPLICATION SITES <br />0 HOUSING <br />770 <br />❑ SEPTIC PUMPER TRUCK/ <br />YARD I CHEMICAL TOILETS <br />❑ WASTEWATER TREATMENT PLANT <br />❑ HOUSING ABATEMENT <br />/ <br />N guild avenue <br />LODI <br />L{� <br />17550 <br />Nguild avenue <br />LODI <br />CUPA <br />, y <br />"! <br />❑ MOTELMOTEL <br />CUPA-HAI -MIT <br />❑ CHICKEN RANCH / DOG KENNELy/ <br />❑ MEDICAL WASTE FACILITY <br />$ <br />18695 <br />Kennison lane <br />LODI <br />TATTOO/BODY PIERCING <br />❑ WASTE TIRE <br />,e' <br />17807 <br />Kennison Lane <br />LODI <br />11 SOOD WASTE <br />. V� <br />N� <br />❑ COMPLAINT <br />❑ OTHER(PLEASE SPECIFY): <br />0 <br />ACCGUMING <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 />R RnxFD AREA - EHD USE ONLY— <br />VORAn r 9rL AJ al,we <br />15 I <br />❑ Records provided by Staff -PPR Complete. staff Name: <br />0 vi- JA , <br />