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r� ��V <br />A <br />ttw <br />EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />JAN 2 1 2016 <br />ENVIRONMENTAL HEALTH DEPARTMENT 4 <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 R `^33 <br />` ONMENTAL e fi phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PERMITtSERVX;E8 ' PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: TAMMY WOODS BUSINESS/AGENCY: NOA/TERRACON <br />0 <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 - $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT TKWOODSCcDTERRACON.COM DATE 01/21/2016 <br />Electronic Information: ❑ List ❑ Map — Description: <br />FILE ADDRESS <br />Street Name <br />N. California St #106 <br />East Cleveland Street <br />City <br />I Stockton <br />AJ:) " <br />EHD USE ONLY <br />42 <br />t ' 1jo ' <br />Unit 1 <br />4,1805 <br />Street # <br />2.T546 <br />3. <br />409 <br />Chestnut Street <br />No <br />NO�� <br />-Unit 2 <br />4• <br />1 411 <br />Chestnut Street <br />IJO <br />p?un1t2H <br />5 <br />415 East Chestnut Street <br />1805 INo California St, #406 <br />n t <br />[ `//' f I L VG tom( i I <br />_ <br />C -C"' <br />NOL, , <br />MIUX-_Al2 <br />AP,1b <br />/uo ay�7 <br />YN0 UjZl <br />1112 <br />6��;PQunit 3 <br />(� Unit 4 <br />s• <br />7.l._ <br />8. <br />i V� <br />�f1'N <br />/ LV ' \vet✓ -Ole <br />,A) d W /' <br />(SITE MITIGATION <br />1�_% <br />i ��- <br />/I It( �'�� �I I <br />LC <br />I <br />D d)ljio <br />ElUnitS <br />10. <br />Specific Date Range of Information Requested: From <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />Z UNDERGROUND TANK (UST) CLEANUP SITE (LOP) 0 MEDICAL WASTE FACILITY <br />7 OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT <br />UNDERGROUND TANK (MONITORING/REMOVA4�4_ ❑ FOOD FACILITY <br />ABOVEGROUND TANKS ❑ CHICKEN RANCH/ DOG KENNEL <br />Q HAZARDOUS WASTEMAZARDOUS MATERIAL& - ❑ MOTEL/HOTEL <br />TIERED PERMITTED FACILITY, ❑ POOL/SPA <br />❑ TATTOO/BODY PIERCING COMPLAINT/RESPONSE RECORDS <br />to <br />2 SOLID WASTE FACT}.�TYNEHIIC"LE� <br />WASTE TIRE a- U-JFOr (;U,!'A w1'� <br />Q DAIRY 1v 2 J 2- 1$-/& <br />.Ef WASTEWATER TREATMENT PLANT <br />© PUMPER TRUCK/YARD/CHEMICAL TOILETS <br />Q LAND USE APPLICATION SITF.q <br />OTHER (PLEASE SPECIFY) Well and 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 $130 deposit prior to review. ***BOXED AREA - EHD USE ONLY**` <br />❑ Records provided by Staff -PPR Complete. staff Name: I <br />EHD 48-06 711 n s <br />