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RECEIVED <br /> SAN J 0 A Q U I N Environmental Health Department <br /> �x <br /> —COUNTY— +�Els 12 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> EWRONMEWALFI'l,�4.Tfi <br /> • PEIWrr/,S EHD LOG NUMBER: <br /> APPLICANT: Tamara Woods BUSINESS/AGENCY: Terracon <br /> ADDRESS: 902 Industrial Way c1rY(sTATErzIP:_Lodi CA 95240 <br /> PHONE(1): _209-269-8586 PHONE(2): FAX OR E-MAIL:tkwood rraP__con—coni <br /> Fiease allow i0 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arranoe an annointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE 2-12-18 <br /> 1. List up to ten addresses in the space oeioW. A,aaress ranges WILL NOT be accepted. Select the-type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(2091464-0138,mail to the <br /> address indicated below,or email to info(cDsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted below. <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 /> 4!� Future file reviews by the same applicant may require a$152 deposit prior to review. <br /> �! WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic information: ❑ List❑ Map–Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y g _ accepted) #HZD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce tedZ Underground Tank(UST) Street# Street Name City Cleanup Site(LOP) n(i I t( AllCoxsuMsa <br /> 1340 S. Hutchins St — Lodi tJ ,�// <br /> Other Cleanup Site(Nan-LOP) l� �Qf�' l:1 �� <br /> Hazardous Waste A&F'11 QI rpp/�M40 ❑Daar <br /> • �Tiered Permitted Facility 3 13160 West Lane Lodi OPA'vx'-'& C: VC , # Irl- (-m� <br /> .H Aboveground Tank S�C,JA 2{I r 4;t.. -r E)ee l- <br /> qq�,,,,,`(4J5" 'I rt Irrf/t 0PWS <br /> FUST (Monitoring/Removal) V(.T r <br /> Hazardous Materials 3 922 Industrial Way Lodi Ct 5,r I{V-], <br /> Spill/Release Response WATER ovum <br /> ❑Solid Waste Facility/Vehicle 4 3243 E. Lathrop Road Manteca <br /> ❑Food Facility <br /> n Pool/Spa Sns MlnGnnon <br /> rl Dairy 5 3275 E. Lathrop Road '"Manteca �i <br /> ( P,,,A7 <br /> r-1LandUse Application Sites 0 HOUSING <br /> , ]i Septic Pumper Truck( 6 3213 E. Lathrop Road Mf� anteca <br /> Yard/Chemical Toilets Pcr"N n^ <br /> Wastewater Treatment Plant W ooi Q 3.5 Q) 4410 A CUPA <br /> Housing Abatement 7 10516 E. Peltier Road �,4sar, tp0 L'304\ a,�tt` egol /HMIHw <br /> Fj Motemotel5I I (� <br /> CUPA <br /> Chicken Ranch/Dog Kennel 8 UST <br /> Medical Waste Facility <br /> ❑Tattoo/Botly Piercing SOLID WASTE <br /> Waste Tire e <br /> &complaint <br /> zother(Please Specify): ❑AccoxNnNG <br /> tfi <br /> also please provide Well&Septic <br /> Permits for addresses#4,5,6,&7 •-BOXED AREA-EHD USE ONLY•" <br /> AfnZ, t,ft. cme' '5+ i2 OrU( r/e— cye— An <br /> PP t <br /> t„v-�uw�- IIC Y <br /> ❑ Records provided by Staff-PPR Complete. Stan Name: EHD 4646 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />