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FDA <br /> TE RECEIVED EHD LOG NUMBER <br /> SAN cjOAQtjIN COUNTY <br /> HVED <br /> ENVIRONMENTAL HEALTH DEPARTMENT ` <br /> MAR to 20% 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: xvww.sjgov.org/ehd <br /> E PERMI�ETIS�NERVICES ALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> FERPJII <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOA/Terracon <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 /> Staffwill 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 Tammy Woods (tkwoods@terracon.com) DATE_03/09/2016 <br /> EIe�rOnic Inf^_rmiatlon: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 9 Street Name city Unit 1 <br /> 1. 2845 Boeing Way Stockton N0 ' z1t <br /> 2• 2486 qBoeinga Stockton Unitea. 2757 a Stockton <br /> 4• 2763 a Stockton unit3 <br /> S. 2769 Boeing Way StocktonLLSITEMITIG�ATION <br /> 6. 2775 Boeing Way I StocktonUnita <br /> 3021 Boeing Way Stockton Co <br /> 4545 s�tfee#or Qantas Street Stocktonunit <br /> 9. <br /> 10 ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Y�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) YIiI MEDICAL WASTE FACILITY F'Z SOLID WASTE FACIUTY[V!=EHICLL <br /> IM OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTETIRE <br /> FK UNDERGROUND TANK(MONITORINGIREMOVAL)dL 9 FOOD FACILITY DAIRY <br /> IXI ABOVEGROUND TANK v< LJ CHICKEN RANCH[DOG KENNEL XI WASTEWATER TREATMENT PLANT <br /> XI HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL XI PUMPER TRUCK[YARDICHEMICAL TOILETS <br /> IX TIERED PERMITTED FACILITY n POOLISPA /XII LAND USE APPLICATION SITES <br /> ❑TATTOOMODY PIERCING X COMPLAINTIRESPONSE RECORDS LX OTHER(PLEASE SPECIE Well & .Sept€c <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY8:00AM-6:00PM(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 atthe expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. ""BOXED AREA-EHD USE ONLY*** <br /> � <br /> Lf i <br /> © <br /> Q Records provided by Staff-PPR Complete. Staff Name: <br /> 5/11115 <br /> Received Time Mar, 9. 2016 4: 30PM No. 0567 <br />