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� W C '*f EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> MAR 2;L 2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> EtMRONMENTAL HATH. <br /> PERiFOWSERVI PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tammy Woods BUS[NESSFAGENCY: 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 /> 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 BUSINE=SS DAYS <br /> SIGNATURE OF APPLICANT Tammy Woods (tkwoods@terracon.COm) DATE 03/21/2016 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name City ©Unit 1 <br /> 1. 6100 E. STATE ROUTE HWY 12 LODI w / <br /> 2• 1550 E. VICTOR ROA_ D ODI Unite <br /> 3. 18198 N. GUILD AVE + L'ODI Aj0C461J [ ` <br /> 4. 18272 I N. GUILD AVE I LODI ACL / p unit 3 <br /> 5. 1 WINEMASTER WAY LQDl CAYI( ( e MITIGATION <br /> 6. ❑ Unit 4 <br /> 7. <br /> 8. Unit 5 <br /> Ig <br /> U'ri 2,1 <br /> 10. Unit-6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES t ED <br /> Y�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE:FACILITY I;;3 SOLID WASTE FAClLIT1YnNELE �C�- <br /> RI OTHER CLEANUP SITE(NON-LOP) Y6 HOUSING ABATEMENT Lad WASTE TIRE (9 �,� � ��' f Lim i <br /> UNDERGROUND TANK(MONITORINGIREMOVALbi FOOD FACILITY IXI DAIRY �//�j q-1— <br /> IX!ABOVEGROUND TANK flC LJ CHICKEN RANCHI DOG KENNEL Y�I WASTEWATER TREATMENT PLANT <br /> X HAZARDOUS WASTE/HAZARDOUS MATERIALS I� ❑MOTELIHOTEL Ial PUMPER TRUCKNARDICHEMICAL TOILETS <br /> �0_TIERED PERMITTED FACILITY ❑POOLISPA I?EI LAND USE APPLICATION SITES <br /> LJ TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS [K OTHER(PLEASE SPECIF`Well & Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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(20,9)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$125 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> - �• r 00 <br /> -1 aDla z b11 Gi 39S- u m( <br /> 110 Records provided by Staff-PPR Complete. Staff Name: J1 <br /> EHD 46.06 5111!15 <br />