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DATRECE CE IVE D EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> FEB 14 2017 ENVIRONMENTAL HEALTH DEPARTMENT 815(905 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • ENVIRONMENTAL HMT flephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PEMMITr;ER�*, PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITYISTATE/ZIP: LODI, CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2): FAX OR E-MAIL: tkwoodsoterracon.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 reviewthe requested records. <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHEC ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT <br /> ����,/�)�� DATE 2-13-17 <br /> 1. List unto 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❑ Map–Description: <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> M UNDERGROUND TANK(UST) Street# Street Name city Cyt <br /> CLEANUP SITE(LOP) m 1 p CONSUMER w Y2 <br /> ®OTHER CLEANUP SITE(NON-LOP) 1 1700 N. Broadway Stockton <br /> F-1HAZARDOUS WASTE (� ❑DAIRY <br /> ❑TIERED PERMITTED FACULTY 2 1448 Shaw Road Stockton — Q(Yl <br /> ®ABOVEGROUND TANK Gp F <br /> ®UST (MONITORING I REMO O PWS <br /> 11ko <br /> F1 HAZARDOUS MATERIALS a 1282 Shaw Road Stockton IyK {-TT '+/tem <br /> ®SPKIIRELEASE RESPONSE19 WATER QUALITY <br /> ❑SOLID WASTE FACILITY/VEHICLE A r <br /> ❑FOOD FACILITY NA 9 r <br /> ❑POOL/SPA <br /> ❑DAIRY a _ Ve <br /> •t �SRE MmGAnON <br /> ❑LAND USE APPLICATION SITES ❑HOUSING <br /> A 5 <br /> ❑SEPTIC PUMPERTRUCKI e 3 P ryrI 4s <br /> !1 <br /> YARD I CHEMICAL TOILETS C <br /> ❑WASTEWATER TREATMENT PLANT ` --�'P -E',I f— <br /> ❑HOUSING ABATEMENT 7 <br /> ❑MOTEUHOTEL <br /> ❑CHICKEN RANCH I DOG KENNEL CUPA <br /> ❑MEDICAL WASTE FACILITY s <br /> ❑TATTOOIBODY PIERCING ❑Soup WASTE <br /> ❑WASTE TIRE s <br /> ®COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> To <br /> Specific Date Range of Infonnation Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> • "`B ED AREA-EHD USE ONLY.. + <br /> 1 , 1 iV I7* <br /> Records provided by Staff-PPR Complete. Staff Name: <br />