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EHD LOG NUMBER <br /> rTV Mr-UMVEU '"' SAN JOAQUIN COUNTY "� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> VAR 2 016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENMRONMF..NTAL HEA2 M. <br /> l�RNOTISEM w. PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tammy Woods BUSINESSIAGENCY: NOA/Terracon <br /> ADDRESS: 902 Industrial Way CITY[STATE/ZIP:-Lodi, CA 95240 <br /> PHONE (1): _209-367-3701 _ PHONE (2): FACSIMILE:_2.09-333-8303 <br /> Please allow 14 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 PROCFSSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Tammy Woods (tkwoods@terracon.Cam) 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 <br /> 2. 1550 E. VICTOR ROAD ODI 0 N-6/nit2 <br /> 3• 18198 N. GUILD AVE o L0DI /UU t Aiouj/ 1 -�4-P <br /> G� c <br /> ¢. 18272 N. GUILD AVE LODI /utJ� E2 Unit3 <br /> WINFIVIIASTFR WAY I LODI -v' TP a/ E MITIGATION <br /> 6. ❑Unit 4 <br /> 7. <br /> 8. Unit 5 <br /> 9. urge. l <br /> L�J`Unit-6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES a <br /> t 09- <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY 5Y SOLID WASTE FACILITIY,,IVE)4LE <br /> ixI OTHER CLEANUP SITE(NON-LOP) EXl HOUSING ABATEMENT [I WASTE TIRE (0 .�, e6 , I <br /> I�UNDERGROUND TANK(MONITORINGIREMOVAL6./ FOOD FACILITY IT4 DAIRY 1� q—I-1 <br /> W ABOVEGROUND TANK fb< II CHICKEN RANCH[DOG KENNEL Y�,WASTEWATER TREATMENT PLANT <br /> X HAZARDOUS WASTEIHAZARDOUS MATERIALSp� ❑MOTELIHOTEL !1'w'PUMPER TRUCK[YARDICHEMICALTOILETS <br /> Ij TIERED PERMITTED FACILITY-:-'., ❑POOLISPA ixI LAND USE APPLICATION SITES <br /> LJ TATTOOIBODY PIERCING 21 COMPLAINT/RESPONSE RECORDS ISI OTHER(PLEASE SPECIF'Well & Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(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 EMD 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 /> N-45--lo . I00__10q 116A)AIE. Picd5lY R-5 w,zu in <br /> 1[ff—Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 46-516. 5111!15 <br />