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est <br /> EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> RECEIVEDENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> JAN 2 fTt"hone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> EWRONMENTALWAgWEILIC RECORDS RELEASE APPLICATION <br /> APPLICANT: <br /> WOODS BUSINESS/AGENCY: NOA/TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITYISTATEIZIP:_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(cDTERRACON.COM DATE_01/21/2016 <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> FILE ADDRESS r^ EHD USE ONLY <br /> Street# Street Name city (,(J <br /> 1. 2510 I North California Street Stockton t e r, NJwP i 5 <br /> 2. 2102 North California Street 1 <br /> 3. 1800 North California StreetI W nit 2 <br /> 4. 523 EHarding N-OAD, N / 't2H <br /> 5. 1506 North California Street No Abi NO ca/64�0�� �9k, ^f <br /> 8- 1546 North California Street AJO l L1VUnit 3 bjbi <br /> 7. 49 I West Yokuts AM (JA f A) ((J f mita <br /> 8. 3132 West March Lane No ho co SITE MITIGATION <br /> 9. 424 Maple Street °� Ivo a <br /> 10. 1 430 I Maple Street I AM Ne 67!' nits <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITYE ETWASTE SOLID WASTE FACILITYNEHICLE n� .1 <br /> *OTHER CLEANUP SITE(NON-LOP) D HOUSING ABATEMENT WASTE TIRE - CO kX <br /> � 6W <br /> *UNDERGROUND TANK(MONITORINGIREMOVALJ e_ ❑FOOD FACILITY DAIRY y/3 1- Z 8-/6 <br /> Q ABOVEGROUND TANK-I- ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> V1 HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITYoI ❑POOLISPA LAND USE APPLICATION SITFC <br /> ❑TATTOOIBODY PIERCING 0 COMPLAINT/RESPONSE RECORDS Z OTHER(PLEASE SPECIFY)Well and Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PNI(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(2091464.0138 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 /> e-Z Wt r O i 0H D <br /> e <br /> EHD 48-06 7/1/15 <br />