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�ECEIVED <br /> SAN_JOAQUIAPR 16 2018 environmental Health Department <br /> COUNTY L WIV PUBLIC RECORDS RELEASE APPLICATION <br /> • c:.; :ENVIRONMENT 88�yu <br /> PERMITlSER BfEMAIL EHD LOG NUMBER: <br /> APPLICANT: TAMARA Woocs BUSINESS/AGENCY:TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATEZIP:LODI,CA 952:0 <br /> PHONE(1): 209-269-8566 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 youAqq arrange an appointen da and time to review the requested records. <br /> SIGNATURE OF APPLICANT /IT{,?"/'LE�'t��- l�{. 0 DATE 406118 <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(2091464-0138,mail to the <br /> address indicated below,or email to infoasicehd 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. ✓� Zy <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 f} t 1 •Aya I I a bL-,r-- to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p ) EHD USE ONLY <br /> FILES S ecific addresses onlyaddress ran es will not be acce ted <br /> x❑Underground Tank(UST) Street# Street Name City <br /> Cleanup She(LOP) ❑CoNsw/6rt <br /> Q Other Cleanup She(NondOP) 2875 HOLLY DRIVE TRACY <br /> Q Hazardous Waste F ❑Doer <br /> ❑X Tiered Permitted Facility 2 721 THOMSEN ROAD ATHROP <br /> ❑X Aboveground Tank <br /> ❑x UST (Manhoring!Removal ❑Pws <br /> X�Hazardous Materials 3 $00 W. CARLTON AVE RACY <br /> ❑x Split I Release Response <br /> ❑Solid alit Fadilry/Vahide 4 8405 TAM O'SHANTER STOCKTON WA,Ea m <br /> ❑Food Fadlgy <br /> ❑ air/Spa �/^ ( �// e ( sire M:ncnnon <br /> D <br /> ❑Dalry a `7 b <br /> ❑Land Use Application Sites <br /> ❑septic Pumper Truck/ ❑How% <br /> 6 <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant ^ (Aj PA <br /> E]Housing Abatement Y /�/ 1 / I AST/HM/HW <br /> MoteUHotel I \' l yl--'r' <br /> ❑Chicken Ranch/Dog Kennel CUPA <br /> ❑Medical Waste Facilely a UST <br /> Talroo/eody Piercing C—Cij <br /> 0 S@ID WA51£ <br /> ❑Waste Tire g <br /> ❑x Complaint <br /> x❑'oIt'h-er,(Please Specay): ❑Acroumlac <br /> 101 <br /> �r —BOXED AREA EHD USE ONLY" <br /> • I (-tb-1C L'w a(t ¢ t ^( > /✓ t l 0 <br /> ❑ Records provided b Staff-PPR Complete. Stan Name: aHr 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjcehd.com <br />