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InTrRw% V <br /> EHD LOG NUMBER <br /> E SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT SJO(I <br /> FES I ,' 26-131868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> "—IENMRONMEN-L,�_' HEALTH <br /> PERMIT/SERVCES: 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 Tammy Woods (tkwoods@terracon.com) DATE 02/18/2016 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 214 S. Kellv Street Lodi A'!�T / <br /> 2. 't &a/Unit 2 <br /> 4. 2rbnit 3 <br /> 5. SITE MITIGATION <br /> 6. []-Unit 4 <br /> `. 7. <br /> 8. Djunit 5 <br /> 9. <br /> 10. 19'Zntts <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) J MEDICAL WASTE FACILITY fel SOLID WASTE=FACCILI YIV HICLE <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTE TIRE <br /> IXI UNDERGROUND TANK(MONITORING/REMOVAL) I FOOD FACILITY DAIRY �7--ZS- <br /> IXI ABOVEGROUND TANK F1CHICKEN RANCH/DOG KENNEL 1)(I WASTEWATER TRE TMENT PLANT <br /> X HAZARDOUS WASTEMAZARDOUS MATERIALS ❑MOTEL/HOTEL I1I PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> FI TIERED PERMITTED FACILITY I_I POOLISPA IXI LAND USE APPLICATION SITES <br /> LJ TATTOO/BODY PIERCING ®COMPLAINT/RESPONSE RECORDS ISI OTHER(PLEASE SPECIFY;Well & Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (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 $125 deposit prior to review. `"'BOXED AREA -EHD USE ONLY"' <br /> 50(O� i <br /> ,A Fi` �2 t �.g i• 1�w^^ ) - <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> 5/11/15 <br /> EHD 48-06 <br />