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RE--0 IENE® EHD LOG NUMBERSAN JOAQUIN COUNTY <br /> JUL 31 2915 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> EWRONMENTALHE hone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMRISERVICES PUBLIC RECORDS RELEASE APPLICATION �� <br /> -- __. <br /> JIM <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOA/Terracon <br /> ADDRESS: _q09 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 /> FY CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Tammy Woods DATE 07-31-2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> 1. 4221 E. Mariposa Road Stockton lkmmf <br /> 2. 4801 ICarpenter Road Stockton RV1-VAc0 Co w nit1 <br /> 3. 4863 (Carpenter Road I Stockton ll� NV_JwrJ1) viit2 I <br /> 4. f']-"t.8 (tiAA t 511 Iv2prinit 2H 1 <br /> o l C <br /> s. rl- WAW '00(e(, (CQ (00�nit3 r <br /> 7. -- _ -D Unit 4 <br /> 8• - �� .SITE MITIGATION rr <br /> 9. <br /> 10. 1 p nits <br /> Specific Date Range of Information Requested: From —all years to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> n UNDERGROUND TANK(UST)CLEANUP SITE(LOP) M MEDICAL WASTE FACILITY IX SOLID WASTE FACILITYNEHICLE <br /> k OTHER CLEANUP SITE(NON-LOP) IXI HOUSING ABATEMENT IXI WASTE TIRE <br /> IXI UNDERGROUND TANK(MONITORINGIREMOVAL) FOOD FACILITY 1(I DAIRY <br /> YJ ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL h WASTEWATER TREATMENT PLANT <br /> ®_HAZARDOUS WASTEIHAZARDOUS MATERIALS LJ MOTELIHOTEL IN PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> �J TIERED PERMITTED FACILITY n POOLISPA ❑LAND USE APPLICATION SITES Septic and <br /> H TATTOO/BODY PIERCING i)q COMPLAINTIRESPONSE RECORDS I�OTHER(PLEASE SPECIFY) Well Permits <br /> ad- <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00P (EXCLUDING dress of M EHfor the f4 <br /> 4221 <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropri E.Mariposa <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0136 or mail to the address indicated above. Ad Only <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 /> 7-31-t5 -(AA- re mAIA+ OC (a'", Teti, tL % eP i M <br /> JAd R412AA (-Ile- v- c Cur 4er . nfJ J 1 kAtT1 forrtb 6rOAI (,W* <br /> RfnvW.eR HM L•tie Lar ylrl kJ� �` GQ. N C�'�•+ � vt .fnr NGo I *Nbb <br /> ❑ Records provided by Staff-PPR Compete. Staff Name: <br /> EHD 4806 717115 <br />