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RECEIVED <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> FEE 14 2017 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 2WRO iLENTAL W'jkL*Iephone: (209)468-3420 Fax: (209)464-0138 Web: www,sjgov.org/ehd 815&05 <br /> PEr%MlT/f;E�""�! PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESSIAGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITYISTATEZIP: 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//// l,l 61"� DATE 2-13-17 <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 EHD USE ONLY <br /> Z UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) n/1, <br /> ®OTHER CLEANUP SITE({SDN LOP) 1 1700 N. Broadway Stockton` 1 s 13 p CONSUMER jz <br /> ❑HAZARDOUS WASTE 0 DAIRY <br /> ®TIERED PERMITTED FACILITY 2 1448 Shaw Road Stockton <br /> ABOVEGROUND TANK GPt <br /> UST (MONITORING I REMO ai E7 PWS <br /> ❑HAZARDOUS MATERIALS 3 1282 Shaw Road Stockton IV, t' <br /> ZSPILLIRELEASE RESPONSE WATER QUALITY <br /> F1 SOLID WASTE FACILITY I VEHICLE q ! <br /> ❑FOOD FACILITY <br /> ❑POOL/SPA 1 - <br /> DAIRY ' SITE MITIGATION <br /> ❑ <br /> ❑LAND USE APPLICATION SITES HOUSING <br /> +�J <br /> ❑SEPTIC PUMPER TRUCK/ B f by 11/ 71 ❑ <br /> YARD I CHEMICAL TOILETS ` <br /> ❑WASTEWATER TREATMENT PLANT ±P -t I I kip CUPA <br /> ❑HOUSING ABATEMENT 7 <br /> ❑MOTEUHOTEL <br /> ❑CHICKEN RANCH I DOG KENNEL CUPA <br /> ❑MEDICAL WASTE FACILITY e <br /> 0 TATTOO/Bo DY PIERCING L]SOLID WASTE <br /> WASTE TIRE y <br /> Z COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): 0 ACCOUNTING <br /> to <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-EHDUSE ONLY*** <br /> Records provided by Staff-PPR Complete. Staff Name: <br />