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CEI VE D <br /> DATE RECEIVED *� SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> FEB 0 6 201? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E=ast Hazelton Avenue, Stockton, CA 95205-6232 <br /> rMIRUNAdWALHIMTH Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd 81515 <br /> PEANIT/SER W_r=3 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS 'BUSINESSIAGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITYISTATEIZIP: LODI, CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2): FAX OR E-MAIL: tkwoods@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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHEC ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANTDATE 2-7-17 <br /> 1. List up to ten addresses in the space below. Select the type(s) of files from the list below 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 $130 deposit prior to review. <br /> Electronic Information: ❑ List Ll Map -- Description: <br /> ENVIRONMENTALGj`�" .�• 'Z_15-1 <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUP SITE(LOP) p � ( I <br /> OTHER CLEANUP SITE(NON-LO T 1648 N.Shaw Road Stockton / [T CONSUMER <br /> ®HAZARDDUS WASTE 1 p DAIRY <br /> TIERED PERMITTED FACILITY 2 <br /> ®ABOVEGROUND TANK <br /> Z UST (MONITORING I REMOVAL) El PWS <br /> ®HAZARDOUS MATERIALS 3 <br /> ®SPILLIRELEASE RESPONSE Gj WATER QUALITY <br /> ®SOLID WASTE FACILITY I VEHICLE 4 <br /> F-1 FOOD FACILITY <br /> ❑POOL I SPA � <br /> Q DAIRY 5LJ SITE MITIGATION <br /> ❑LAND USE APPLICATION SITES <br /> ❑HOUSING <br /> F1 SEPTIC PUMPER TRUCK/ <br /> 6 <br /> WARD I CHEMICAL TOILETS <br /> WASTEWATER TREATMENT PLANT CUPA <br /> ❑HOUSING ABATEMENT 7 <br /> ❑MOTELIHOTEL <br /> CHICKEN RANCH I DOG KENNEL ip CUPA-1,T <br /> MEDICAL WASTE FACILITY a <br /> F]TATTOO/BODY PIERCING Ed 50LID WASTE <br /> ®WASTE TIRE s <br /> COMPLAINT <br /> ®OTHER(PLEASE SPECIFY): ❑kcouNTING <br /> WELL AND SEPTIC PERMITS 10 <br /> For#1 ADDRESS ONLY <br /> Specific Date Range of Information Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY$:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> —BOXED AREA-EHD USE ONLY— <br /> El Records ,provided by Staff-PPR Complete. Staff Name: <br />