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RECEIVED SAN JOAQUIN COUNTY E LOG NUMBER <br /> FEB 0 9 2016 ENVIRONMENTAL HEALTH DEPART <br /> IM-511115 rt 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �� V <br /> • ENVIRONMENTAL. T&I"hone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> PERM(T/SERVICES 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 02/08/2016 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 1617 N. California Street Stockton <br /> 2. <br /> [� <br /> E3.'0nit 2 <br /> 3. �" <br /> 4. -- // �`N <br /> <yYllnit3 J <br /> S. 0`SITE MITIGATION <br /> • 6. IJ"Unit4 <br /> 7. <br /> 8. UWnit 5 <br /> 9. tk,� <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) J MEDICAL WASTE FACILITY F'il SOLID WASTE FACILITYIVEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) (X HOUSING ABATEMENT 2 WASTE TIRE <br /> IRI UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY Yd DAIRY <br /> XI ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL IM WASTEWATER TREATMENT PLANT <br /> _X HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELMOTEL 21 PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> I)p TIERED PERMITTED FACILITY 11 POOLISPA IXI LAND USE APPLICATION SITES <br /> LJ TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS FQ OTHER(PLEASE SPECIE W@ll & 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 fist 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 fifes 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 /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 5111115 <br />