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IV EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> SEP 1 1 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT(SERVICES PUBLIC RECORDS RELEASE APPLICATION <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 /> 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 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT TKWOODS@TERRACON.COM DATE 09-11-15 <br /> Electronic Information: ❑ List ❑ Map--Description: <br /> FILE ADDRESS <br /> U7. <br /> Street Name City EHD USE ONLY <br /> fic Avenue STOCKTON A1C' <br /> cL ,—cop <br /> *d—( <br /> fic Avenue I STOCKTON 5 Kw -CQ (0 <br /> fic Avenue I STOCKTON — k _gyp ((0�d—La U�irl <br /> I, <br /> E ❑ Unit 2H <br /> M MPA Ol C't+CS� tnl bifn <br /> fVunit4 <br /> 91SITE MITIGATION <br /> Specific Date Range of Information Requested: From ALL to v unit 5 <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> nX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E]MEDICAL WASTE FACILITY IX SOLID WASTE FACILITYNEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT `WASTE TIRE <br /> I3�UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑n DAIRY <br /> IX ABOVEGROUND TANK [:1 CHICKEN RANCH/DOG KENNEL W WASTEWATER TREATMENT PLANT <br /> 2 HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑n PUMPER TRUCKNARDICHEMICAL TOILETS <br /> XJ TIERED PERMITTED FACILITY [:]POOUSPA 4d LAND USE APPLICATION SITES <br /> L TATTOO/BODY PIERCING I3�COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <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(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 at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> roJAe$ t7jo& a Dr Aar l Qoi-5 Wo %I to 00 0 ciG J D�ol1 1B for <br /> 1 is IµM t7�U0 S s ; t✓ ill �s1slt%QWc Ave: ,�J6 f1('L4*'1 <br /> 5 S�tO P ; •(, I.� t� �F'le tar SISI rn.,,1, Io u 'tpLAve V' e <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 48-66 <br /> 711/15 <br />