Laserfiche WebLink
KEC:E1VED, � <br /> DATE CEIVED ���y� v `H EHD LOG NUMBER <br /> N 15 201? Ili� SAN JOAQUIN COUNTR .. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> &MRONIVENTAL FlEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PEI'illMFr/SERVtfZ9 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP: LODI, CA 95240 <br /> PHONE(1): 209-367-3701 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 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 �)j/ �/ / /fl]��1 ^ DATE 01-03-2017 <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below 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 $130 deposit prior to review. <br /> Electronic Information: ❑ List❑ Map—Description: <br /> ENVIRONMENTAL I 0 1 CIO- 1513 1-ZO--( <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) ❑CONSUMER <br /> ®OTHER CLEANUP SITE(NON-LOP) 24511 N.ST RT 99 ACAMPO a f <br /> ®HAZARDOUS WASTE U <br /> � NJ x(�J ❑ AIRY '�!l <br /> ®TIERED PERMITTED FACILITY 2 24327 N.ST RT 99 ACAMPO <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING I REMOVAL) t,.j u / L ❑PWS <br /> ®HAZARDOUS MATERIALS 3 24323 N.ST RT 99 ACAMPO <br /> c>kEM- 000 w-5 <br /> L13-11 <br /> ®SPILURELEASERESPONSE Q 11 <br /> LK 51'WATER QUALITY <br /> ®SOLID WASTE FACILITY/VEHICLE 4 24355 N.ST RT 99 ACAMPO QM t`v O W I/ <br /> 1` F-1 FOOD FACILITY <br /> ` ❑POOL/SPA p ff / <br /> F1 DAIRY s 24155 N.ST RT 99 ACAMPO N�if ? C/SITE MITIGATION <br /> F LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK I ❑HOUSING <br /> e 23987 N.ST RT 99 ACAMPO alp <br /> YARD/CHEMICAL TOILETS N �� /�J <br /> WASTEWATER TREATMENT PLANT (:11�M_ U CUPA <br /> HOUSING ABATEMENT 7 rA ()ngo-7 <br /> ❑MOTEUHOTEL FAO )121 O ✓ VST <br /> F]CHICKEN RANCH I DOG KENNEL Eb COPA-HAZ-MAT <br /> ❑MEDICAL WASTE FACILITY 8 <br /> F-1 TATTOO/BODY PIERCING [�SOLID WASTE <br /> ®WASTE TIRE y <br /> ®COMPLAINT <br /> ®OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> WELL AND SEPTIC PERMITS 10 �� /I <br /> For#1,2&3 ADDRESS ONLY <br /> Specific Date Range of Information Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM EXCLUDING HOLIDAYS <br /> ***BOXED AREA-EHD USE ONLY`** <br /> i <br /> 0 " I a ' LJ L <br /> 0 Records provided by Staff-PPR Complete. Staff Name: <br />