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07/29/2015 3 : 35 : 10 PM -0500 Terracon Fax Server PAGE 2 OF 2 <br /> D11ELEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> JUL 2 9 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ENVIRONMENTAL H ALNWone: (209) 468-3420 Fax: (209) 464-0138 Web: www.Sjgov.org/ehd <br /> PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sadie Bodiford BUSINESS/AGENCY: Terracon <br /> ADDRESS: 50 Goldenland Court, Suite 100 CITY/STATE/ZIP:Sacramento, CA 95834 <br /> PHONE(1): 916-246-5080 PHONE(2): 831-332-3736 FACSIMILE: 916-928-4697 <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 Sadie Bodi ford DATE 7/29/15 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> +2. <br /> 1910 East Lathrop Road Lathrop <br /> j> I ( � ( l ❑ Unit 1 <br /> 3. <br /> ,1 7 Q Unit 2 (� <br /> '4• Po\acK JFI(eLj M Colto Unit 2H <br /> 5. <br /> 6. -�`I j Unit 3 <br /> 7' „dUnit 4 <br /> 8. <br /> ❑SITE MITIGATION <br /> 9. <br /> 10. <br /> E] Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1K]UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILITY[VEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> JXI ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ©HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL(HOTEL ❑PUMPER TRUCK(YARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOI60DY PIERCING ❑COMPLAINVRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)4G4-0138 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. <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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time—Jul- 29. -2015— 1 :34PM—No. 9225 7/1/15 <br />