Laserfiche WebLink
RECEIVED SAN JOAQUIN COUNTY FILED LG 0y"Ey <br /> SEP 1 1 2015ENVIRONMENTAL HEALTH DEPARTMENT jj^j <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> f:� 19 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/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 TKWOODS@TERRACON.COM DATE 09-11-15 <br /> LElectronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> eet# Street Name City <br /> W� EHD t1RF nNLY <br /> JV5151 <br /> 32 Pacific Avenue STOCKTON <br /> I Pacific Avenue STOCKTO ❑ Unit 1 <br /> 10 Pacific Avenue ��,p STOCKTON ©/nit 2 rl� <br /> 4. 'I <br /> ❑Unit 2H <br /> 5. <br /> 6. <br /> Unit 3 <br /> 7. IS/Unit Unit 4 <br /> 8. <br /> SITE MIXA ION <br /> 9. q <br /> 10. � '' / w U it 5 <br /> Specific Date Range of Information Requested: From _ALL to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES At <br /> nX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [:1 MEDICAL WASTE FACILITY Fg SOLID WASTE FACILITYIVEHICLE/V I <br /> OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT IX WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> �X ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> �f TIERED PERMITTED FACILITY ❑POOLISPA 5 LAND USE APPLICATION SITES <br /> H TATTOOIBODY PIERCING 13d COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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$130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> F13—Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 <br /> 711/15 <br />