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D I 'Tr w EHD LOG NUMBER <br /> SAN JOAQUIN COUN ' <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> "H <br /> APR 2 2 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 ? 34 '9-7 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> WRONMENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> MU6 <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITYISTATEIZIP: LODI,CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2): FAX OR E-MAIL: tkwoods(dterracon.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 BOXTO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � �I / '401„ DATE 04-13-2016 <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 <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EH® USE ONLY,/ U ..L 1 <br /> ®UNDERGROUND TANK(UST) Street# Street Name City 3h1e5 16,iD �0/l`,(,y�' Lni a1lb <br /> q 3 <br /> CLEANUP SITE(LOP) <br /> ® q <br /> OTHER CLEANUP SITE S. Pacific Avenue Lodi [I CONSUMER <br /> ®HAzAA000S WASTE DNRY <br /> ®TIERED PERMITTED FACIUTY P 1111 W. Century Blvd Lodi <br /> ®ABOVEGROUND TANK L� <br /> ® <br /> ❑UST(MONITORING/REMOVAL) PWSJ.� • 1 � I <br /> ®HAZARDOUS MATERIALS a 04ONe <br /> ®�ISPILL/RELEASE RESPONSE V L l., wi .1�/� lll�L/WLL/YYY{NN/L IL <br /> Z SOLID WASTE FACIUTY/VEHICLE 4 Ly.rATER Ouxm <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA <br /> ❑DNRY 6 SITE MRIWnON <br /> LAND USE APPLICATION SITES <br /> SEPTIC PUMPER TRUCK/ ❑HOUSING <br /> B <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT - LCfCUPA <br /> HOUSING ABATEMENT 7 <br /> MOTWHOTEL <br /> i <br /> F1 CHICKEN RANCH/DOG KENNEL FrCIPA-HAZ-MAT <br /> MEDICAL WASTE FACILITY a <br /> TATTOO/BODY PIERCING <br /> gS.IO WAST- <br /> ®WASTE TIRE 9 <br /> ®COMPLAINT <br /> ®OTHER(PLEASE SPECIFY): a ACCOUNTING <br /> WELLAND SEPTIC PERMITS 10 <br /> Specific Date Range of Information Requested: From to <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> "'BOXED AREA-EHD USE ONLY*** <br /> (oml2lk ni carD31,V2I-Z7 <br /> Oa f5 <br /> i It (C s LQ933L10 7 2 ' a <br /> 3 <br />