Laserfiche WebLink
I <br /> '"'- IV E', <br /> EGEN <br /> SAN ) OAQ U I N "�rP. Environmental Health Department <br /> PLIBLk RECORDS RELEASE APPLICATION <br /> WIRONMENI,Al '9L4J <br /> • <br /> PERM IT/SERc�^IT BY EMAIL 1-330 <br /> EHD LOG NUMBER: <br /> '1 24 3 <br /> APPLICANT: TAMARAWOODS BUSINESS/AGENCY: TERRACON CONSULTANTS INC <br /> ADDRESS: 002 INDUSTRIAL WAY CITY/STATE/ZIP:LODI CA 95240 <br /> PHONE (1): 209-269 9586 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 Woods, Tamara K DATE 7-217-1,3, <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 info@slcehd.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 C 159121(B <br /> HEALTH DEPARTMENT y 9 p <br /> FILES (Specific addresses only, ranges will not be accepted) EHD USE ONLY <br /> ❑X Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) 1409 BOEING WAY Stockton ®D'� ❑CONSUMER <br /> 1 <br /> • <br /> ❑X Other Cleanup Site(Non-LOP) • NOcu a U <br /> ❑X Hazardous Waste t-1 t/1 nlRv <br /> ❑Tiered Permitted Facility 2 4114 S. AIRPORT WAY STOCKTON 1�—`{,��',�' ❑ <br /> Aboveground Tank ' �I' C, wak /sp <br /> nX UST (Monitoring/Removal) 1fs�iW RME]PW <br /> 0 Hazardous Materials 3 4101 S. AIRPORT WAY STOCKTON �W <br /> FX Spill/Release Response O&WA 00 <br /> }� <br /> Solid Waste Facility/Vehicle 4 't NY g p WATER QUALITY <br /> O <br /> 4333 S. AIRPORT WAY STOCKTO oC� �� <br /> F] Food Facility • • No CD Isp <br /> Pool/Spa � ?r ('��f11 R'll �(D NI'SITE MITIGATION <br /> E]Dairy ` 6 4447 S. AIRPORT WAY STOCKTON .;�, ti, 1 ill 3 <br /> ❑Land Use Application Sites�J'\' <br /> % t� `' ` Roil <br /> HOUSING <br /> Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant ®6U PA <br /> F�Housing Abatement 7 AST/HM/HW <br /> El Motel/Hotel <br /> [I Chicken Ranch/Dog Kennel [a�UPA <br /> Medical Waste Facility 8 UST <br /> F-]Tattoo/Body Piercing ❑SOLID WASTE <br /> ❑Waste Tire 9 <br /> Q Complaint <br /> E]Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> —BOXED AREA-EHD USE ONLY*** <br /> I l.g''Zr'vl(l, <br /> 2 aint-, coco159(pra.-. W qq2 <br /> ❑ Records provided by Staff-PP Complete. Starr Name: vzjly — f7r_b_V1 &- en. 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 />