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RECEIVED <br /> S A WJ O A Q U I N Environmental Health Department <br /> - C 0 U N T 1 --._. <br /> MO 24 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> EwnRONM <br /> PEINMITlS AIL 5-2'I PM EHD LOG NUMBER: <br /> APPLICANT: TAMARA WOODS BUSINESS/AGENCY:TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP:LODI,CA 95240 <br /> PHONE(1): 209-269-8586 PHONE(2): FAX OR E-MAIL: TKWOODS@TERRACON.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 review the requested records. <br /> SIGNATURE OF APPLICANT Woods, Tamara K DATE it it. <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138,mail to the <br /> address indicated below, or email to infoRsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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. 11 <br /> Future file reviews by the same applicant may require a $152 deposit prior to review. -1 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From ALL AVAILABLE YEARS to <br /> ENVIRONMENTAL FILE ADDRESS I. <br /> HEALTH DEPARTMENT (Specific addresses only,address ranges will not be accepted) EHD USE ONLYFILES <br /> FX Underground Tank(UST) Street# Street Name City <br /> oa 09 V:7 <br /> Cleanup Site(LOP) E]CONSUMER <br /> ❑x Other Cleanup Site(No 1 4219 E. MORADA LANE STOCKTON AJ D ,e <br /> Q Hazardous Waste ❑ <br /> DAIRY <br /> Q Tiered Permitted Facility 2 <br /> Q Aboveground Tank <br /> FX UST (Monitoring/Removal) ❑PWS <br /> Q Hazardous Materials 3 <br /> Q Spill/Release Response <br /> WATER QUALITY <br /> Solid Waste Facility/Vehicle 4 <br /> Food Facility <br /> Pool/Spa Q41TE MITIGATION <br /> Dairy 5 <br /> Land Use Application Sites <br /> E]HOUSING <br /> F1 Septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant VIZ,PA <br /> n Housing Abatement 7 AST/HM 1 HW <br /> ❑Motel/Hotel <br /> 17-1 Chicken Ranch/Dog Kennel CUPA <br /> Medical Waste Facility $ UST <br /> Tattoo/Body Piercing ❑SOLID WASTE <br /> Waste Tire 9 <br /> Q Complaint <br /> F]Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY*** <br /> : L .'����1 r ?t .; '`7 . � � • lrtk , r"-16L-- <br /> r,, <br /> - <br /> 1 <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www-sjcehd.com <br />