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REEVED SAN .10AQUIN COUNTY , NBER <br /> JUL" 31 Z015 ENVIRONMENTAL HEALTH DEPARTMENT ' <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> flRONMENTALHEhone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION ' <br /> r 4 <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 /> IXI 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 <br /> EHD USE ONLY <br /> 1. 4221 1 E. Mariposa Road Stockton <br /> 2- 4801 Carpenter Road Stockton Unit 1 <br /> 3. 4863 Icarpenter Road Stockton <br /> 1[]unit2 <br /> 4. _ ,(]'Unit 2H 1 <br /> 5. e )C � ., <br /> 6. 4),7,1 L} l 1 - Unit 3 <br /> {w <br /> 7. ,(]Unit 48. <br /> r� <br /> .,Ej SITE MITIGATIO N <br /> 9. <br /> 110. 1 1 1)(1/_( ❑" it 5 <br /> Specific Date Range of Information Requested: From —all VAa rs to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Nd UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY RI SOLID WASTE FACILITYIVEHICLE <br /> IX)OTHER CLEANUP SITE(NON-LOP) IXI HOUSING ABATEMENT IXI WASTE TIRE <br /> IXI UNDERGROUND TANK(MONITORINGIREMOVAL) M FOOD FACILITY DAIRY <br /> X]ABOVEGROUND TANK 5d CHICKEN RANCH/DOG KENNEL ISI WASTEWATER TREATMENT PLANT <br /> ®I1AZARDOUS WASTE/HAZARDOUS MATERIALS U MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> 5f'rIERED PERMITTED FACILITY ❑POOL/SPA ❑LAND USE APPLICATION SITES Septic and <br /> LJ TATTOO/BODY PIERCING 54(;OMPLAINT/RESPONSE RECORDS OTHER(PLEASE SPECIFY) Well Permits <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM EXCLUDING HOL for the <br /> ( dress off 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)464-0138 or mail to the address indicated above. Ado 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 /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br /> 7/1115 <br />