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„wU SAN rJOAQUINRECEIVFR <br /> nvlronmental Health Department <br /> —COUNTY— APR I ) M? PLIBLI RECORDS RELEASE APPLICATION <br /> Greotness grows he <br /> • F�JYlR4 IMMii 4'�g EHD LOG NUMBER: 9�L,165 <br /> APPLICANT: Sadie Bodiford BUSINESS/AGENCY:Terracon Consultants,Inc. <br /> ADDRESS: 50 Goldenland Court,Suite 100 CITY/STATE/ZIP:Sacramento,CA 95834 <br /> PHONE(1): 916-246-5080 PHONE(2):916-9284690 - FAX OR E-MAIL: sadie.bodiford@ter wn.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 apointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Sadie Bodiford electronic signature) DATE 4-17-2018. <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)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,mail to the <br /> address indicated below,or email to info(a),sicehd.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. <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. _ t <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 All to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT <br /> FILES Wpecific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> 0 Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) tkSc El CONSUMER <br /> • QOther Cleanup Site(Ncn-LOP) -f 8715 Grant Line Road West Tracy W' <br /> ❑X Hazardous Waste F✓'V”?t 11 DAIRY <br /> Tiered Permitted Facility 2 724, Grant Line Road East Tracy <br /> 0 Aboveground Tank y'� t <br /> FX UST (Monitoring/Removai) F / i U// ( / _/t/}-V(j N ❑PWS <br /> ❑x Hazardous Materials <br /> a <br /> ❑- Spill/Release Response rt P � 6-00N f <br /> Solid Waste Facility/Vehicle q OC 1'j 1' - I f (''Tr(1\-`fr✓., <br /> ❑Food Facility <br /> ❑Pool/SpaI I 1 SIre Mmes u.N <br /> Dairy 5 •-�'(�J <br /> ❑X Land Use Application Sites <br /> ❑x Septic Pumper Truck/ a w^ ^ ❑Houslrvc <br /> Yard/Chemical Toilets '� I W C' <br /> Wastewater Treatment Plant /� (I / L p CUPA <br /> Housing Abatement 7 �� '-If/+T`-�1 r _I r r 6 n` t AST I HM I HW <br /> Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel gi(CUPA <br /> Q Medical Waste Facility e UST <br /> F1 Tattoo/Body Piercing &touo Wnsrs <br /> F]Waste Tire g <br /> Q Complaint <br /> Other(Please Specify): ❑ACCOUNaNG <br /> m <br /> ***BOXED AREA-EHD USE ONLY*** <br /> • �t-l1- Iii- En tl .4trncll 0 l . A : A 9 Luge ll <br /> ❑ Records provided by Staff-PPR Complete. shelf Name: EHD qs-os <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.corn <br />