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RECEIVED <br /> 1pE EHD LOG NUMBER <br /> '-"� SAN .IOAQUIN COUNTY � <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AR 2 1-2016 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH1 <br /> PERFAITISERVES � <br /> Kl 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 03/21/2016 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ❑Unit 1 <br /> 1. 6100 E. STATE ROUTE HWY 12 LODI W 4i (9919V1 <br /> 2• 1550 E. VICTOR ROAD ODI unite <br /> 3 18198 N. GUILD AVE • LbDI No ' I_ t ND(Q/rj <br /> 4. 18272 I N. GUILD AVE a-� LODI /UJGIAJ p u it3 3(�0 <br /> 5 1 I WINFMARTFR WAY I nni cD*TP E MITIGATION <br /> 8' ❑Unit 4 <br /> 7. <br /> 8' Unit 5 <br /> 9. <br /> 10. �"2 <br /> p/tm,e <br /> Specific Date Range of Information Requested: From to <br /> �I <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES '4jr1 <br /> y - <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 4�J MEDICAL WASTE FACILITY V SOLID WASTE FACILITIIYNE)ALE <br /> IRI OTHER CLEANUP SITE(NON-LOP) qfI HOUSING ABATEMENT 3aWASTETIRE <br /> IXI UNDERGROUND TANK(MONITORINGIREMOVALbl �I FOOD FACILITY <br /> I]d DAIRY <br /> IXI ABOVEGROUND TANK oG U CHICKEN RANCH/DOG KENNEL IMI WASTEWATER TREATMENT PLANT <br /> C,4,X HAZARDOUS WASTEIHAZARDOUS MATERIALS C,4, MOTELIHOTEL 21 PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> IXI TIERED PERMITTED FACILITYag-, ❑POOLISPA IXI LAND USE APPLICATION SITES <br /> U TATTOOIBODY PIERCING ®COMPLAINT/RESPONSE RECORDS IXI OTHER(PLEASE SPECIF`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 /> te, foe 00 <br /> _ fib•. f,7ED4Dt � • S 395• nw <br /> 0 Records provided by Staff-PPR Complete. Staff Name: <br /> 5/11115 <br /> HD 4846 <br />