Laserfiche WebLink
RECEIVED <br /> -' SA%JOAQUIN Environmental Health Department <br /> COUNTY— JU,"I 0 15 2018 PUBhIC RECORDS RELEASE APPLICATION <br /> -I �e 0\ <br /> r u[rletic gici,,s htEW� i MAIL <br /> PENMIT�' EHD LOG NUMBER: qZ"131 <br /> APPLICANT: TAMARA WOODS BUSINESS/AGENCY:TERRACON CONSULTANTS INC. <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP:LODI,CA95240 <br /> PHONE(1): 209-269-8586 PHONE(2): FAX OR E-MAIL: TAMARA.WOODS@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 /> SIGNATURE OF APPLICANT DATE 6-5-18 <br /> 1. List up to ten addresses in the space below. Address 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(209)464-0138,mail to the <br /> address indicated below, or email to infoOslcehd.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 /> 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 V C�• �J" -I <br /> HEALTH DEPARTMENT 9 p EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be accepted) <br /> X❑Underground Tank(UST) Street# Street Name y <br /> Cleanup Site(LOP) "t tlAw it ❑CONSUMER <br /> QOther Cleanup Site(Non-LOP) 1 2985 E. Loomis Ro ckton ( �1D <br /> Q Hazardous Waste k V'A <br /> uyr- P2 0t31(0'7 C=0 <br /> QX Tiered Permitted Facility 2 3112 E. Loomis Road Stockton m t <br /> Q Aboveground Tank ' t/f <br /> 0 UST (Monitoring/Removal) HM�HW gGJ.t. ❑PWS CO <br /> 0 Hazardous Materials 3 2929 HWY 99 W FRONTAGE RD Stockton l <br /> QX Spill/Release Response <br /> ATER QUALITY <br /> Q Solid Waste Facility I Vehicle q GM <br /> n Food Facility <br /> n Pool I Spa ITE MITIGATION <br /> n Dairy 5 <br /> n Land Use Application Sites <br /> Septic Pumper Truck/ ❑6 HOUSING <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant 8'15UPA <br /> Housing Abatement 7 AST/HM/HW <br /> F]Motel/Hotel <br /> Chicken Ranch/Dog Kennel COPA <br /> Medical Waste Facility 6 UST <br /> Tattoo/Body Piercing SOLID WASTE <br /> Q Waste Tire a <br /> FX Complaint <br /> Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> C `( A+"1r1k 1nc� a t r ,, e1ti �• ��ti G1� {�— <br /> Ilk <br /> v; p <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />