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WmH3/09/2016 6 : 31 : 16 PM -0600 Terracon Fax Server PAGE 1 OF 1 <br /> 2 " <br /> 12 <br /> wou <br /> Baru DATE RECEIVED _ EHD LOG NUMBER <br /> D. SAN JOAQUIN COUNTY <br /> ,ir �`' '`' 'y" ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 0 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: \v,,vw.sjgov.org/ehd <br /> 14-tPdV1ERMII/SER1_CES PUBLIC RECORDS RELEASE APPLICATION <br /> PERMIT <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOA/Terracon <br /> ADDRESS: 902 Industrial Way CITY/STATE/ZIP: Lodi, CA 95240 <br /> PHONE(1): _209-367-3701 _ PHONE (2): FACSIMILE: 209-333-8303 <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 Tammy Woods (tkwoods@terracon.com) DATE 03/09/2016 <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 2845 Boeing Way Stockton %11a <br /> 2. 2486 Boeing Way Stockton Unit <br /> 3 2757 Boeing Way Stockton3 � <br /> 4. 2763 BoeingWa Stockton nit <br /> 5 2769 Boeing Way Stockton <br /> SITE MITIGATION <br /> s. 2775 Boeing Way I Stockton Unit <br /> 7. 3021 Boeing Way Stockton 41 1AW <br /> 8. 4545 C met or Qantas Street Stockton Unit 5 <br /> 9. <br /> 10. ❑Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> XI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) K MEDICAL WASTE FACILITY n SOLID WASTE FACILrrYNEHICLLE''`ten �i� <br /> ixI OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTE TIRE 1 �/t,tMJ/T <br /> IXI UNDERGROUND TANK(MONITORINGIREMOVAL),,L FOOD FACILITY �J DAIRY ��3-/7-1(. <br /> AXI ABOVEGROUND TANK � II CHICKEN RANCH/DOG KENNEL XI WASTEWATER TREATMENT PLANT <br /> FXHAZARDOUS WASTEIHAZARDOUS MATERIALSD ❑MOTELIHOTEL PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> F1 TIERED PERMITTED FACILrnt�_ n_POOLISPA IXI LAND USE APPLICATION SITES <br /> [—ITATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS LX OTHER(PLEASE SPEC IF WeII & Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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)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 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 $125 deposit prior to review. —BOXED AREA- EHD USE ONLY'"` <br /> 6vWjjujq j 6 ,,, *\.a tkm 6LO /&- V-5V- amnk-s a 3�04 <br /> all o D <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time Mai, 9. 2016 4: 30PM Ngo, 0567 5111!15 <br />