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RECEIVE <br /> SAN . J QA Q U I N Environmental Health Department <br /> COUNTY E8 12 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> EP4WENTAL FjM,3M V <br /> IS/ I V6 <br /> P@nmrrl8ERem EHD LOG NUMBER: <br /> APPLICANT: Tamara Woods BUSINESsrAGENcv:_Terracon <br /> ADDRESS: 942 Industrial Way CITYISTATEZIP:,Lodi CA 95240 <br /> PHONE(1): 209-269-85$5 PHONE(2): FAX OR E-MAIL:tkwoods terracon.Com <br /> Piease aiiow iu business days from date of application submittal for the records to be available. <br /> Staff will contact you to arranne an anointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANTDATE_2-12-1 S <br /> 1. List up to tett addresses in the space Deiow. iAaa`ress{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(249)464-0138,mail to the <br /> address indicated below,or email to info()slcehd.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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:40 AM-S:OOPM{EXCLUDING HOLIDAYS) r <br /> Electronic Information: ❑ List ❑ Map– Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE AQDRESS <br /> (Specific addresses only,address ranges wi <br /> llnot be accepted) EHD USE ONLY <br /> FILES Underground Tank(UST) Street# Street Narne city ,J- i`J <br /> Cleanup Ste(LOP) NC' I i wnLe CONSUMER <br /> �OtherCleanupSite(NOn-LOP) 1340 S. Hutchins St Lodi <br /> � "v' <br /> Hazardous Waste 11,r 1"ll 01CAI acf} h rn e r a E]DAIRY <br /> ❑Tiered Permitted Facility 2 13164 West Lane Lodl �w �r�pr{�� tt Cil— ui�i��) <br /> Aboveground Tank ' t;1 11" �` qAST6—)CCS-tw <br /> 'ZUST (Monitoring I Removal) 6� j" q� mN ❑PWs <br /> 3 922 Industrial Way Lodi �I-I> VAtrJ ��-,,�t <br /> .'Hazardous{vlaierials - <br /> t-1 f't Hw L <br /> Spill I Release Response WATER QUALITY <br /> Ej Solid Waste Facility I Vehicle 4 3243 E. Lathrop Road ~ Manteca l <br /> Food Facility <br /> ❑Pool/Spa6 V lj a (,� SITE MITIGATION <br /> ®Dairy 5 3275 E. Lathrop Road "Manteca' ' Ui <br /> ❑Land Use Application Sitesy HOUSING <br /> Septic Pumper Truck I <br /> 6 1 3213 E. Lathrop Road Manteca � r <br /> Yard I Chemical Toilets C{n 1 <br /> Wastewater Treatment Plant CV00 i Q3 5 44Aj (t1 COPA <br /> Housing Abatement 7 10516 E. Peltier Road � zar po C'� t>riyC,, gqC rHMIHW <br /> MoteVHotel �I I t.I <br /> CUPA <br /> Chicken Ranch/Dog Kennel <br /> 6 LIST <br /> Medical Waste Facility <br /> F-1 Tattoo/Body Piercing - ]SOLID WASTE <br /> F-1 Waste Tire g <br /> Complaint <br /> 'Other(Please Specify): []AcCOUNnNG <br /> 10 <br /> also please provide Well&Septic <br /> Permits for addresses#4,5,6,&7 'BOXED AREA-EHD USE ONLY"• <br /> cEb �' �i 'L l ,l � . ' •�= 'wl'C.,u +<.�. r,is � t 14 > c' ► c. r: <br /> © Records provided by Staff-PPR Complete. staff Name: EH❑4e-06 <br /> 1868 E. Hazefton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www,sjcehd.com <br />