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DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> AFk I � 201i ENVIRONMENTAL HEALTH DEPARTMENT <br /> E MRON1NTAL FMTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 16 SqLjj <br /> PEmmiTrSEWICES Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP: LODI,CA 95240 <br /> PHONE(1): 209-367-3701 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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �J///e 1 io / /6)�� , DATE 4-12-17 <br /> v', i'F —1-- CTLvu- <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(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 noteyittr <br /> ove. <br /> 3. The EHD will notify the applicant if any EHD files exist. An appointment for review o rly ten(10) <br /> days after receipt of application. The files will be held for a maximum of five businesfd� fev pents <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. �d <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. <br /> Electronic Information: ❑ List❑ Map—Description: <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) <br /> OTHER CLEANUP SITE(NON-LOP) CONSUMER <br /> 1341 E.Kettleman Lane Lodi <br /> ® <br /> ®HAZARDOUS WASTE / ❑DAIRY <br /> ®TIERED PERMITTED FACILITY 2 1290 Auto Center Drive Lodi <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING/REMOVAL) PWS <br /> ®HAZARDOUS MATERIALS s 1340 Auto Center Drive Lodi N r <br /> ®SPILURELEASE RESPONSE <br /> (�/`•. WATER QUALITY <br /> ®SOLID WASTE FACILITY/VEHICLE 4 1333 E.Kettleman Lane Lodi '-- ''7l-� <br /> ❑FOOD FACILITY <br /> POOL/SPA �/' <br /> E]DAIRY s 5485 E.Kettleman Lane Lodi �- SITE MITIGATION <br /> F1 LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK/ 6 i]HOUSING <br /> YARD/CHEMICAL TOILETS <br /> F1 WASTEWATER TREATMENT PLANT NfCUPA <br /> HOUSING ABATEMENT 7 <br /> ❑MOTEL/HOTEL <br /> F]CHICKEN RANCH/DOG KENNEL CUPA-HAZ-MAT <br /> 8 <br /> F]MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING <br /> ` SOLID WASTE <br /> ®WASTE TIRE 9 \\ <br /> Z COMPLAINT rub` <br /> 0 ACCOUNTING <br /> 10 <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:OOPM(EXCLUDING HOLIDAYS) <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br />