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RECEIVED <br /> DATE RECEIVED ' r D LOGNUMBER <br /> SAN JOAQUIN COUNTY <br /> W0&. <br /> APR 0 5 2016 ENVIRONMENTAL HEALTH DEPARTMENT 4b <br /> ENViROEeMENTPL 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PEE fTFSE[��plione: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> s �P onPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: NOA/TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATEIZIP: LODI, CA 9524.0 <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 /> AIZA <br /> CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT TKWOODSCcDTERRACON.COM DATE_April 5, 2016 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS — <br /> Street# * Street Name City EHD USE ONLY n <br /> 1. 104 E. Lodi Avenue • , `` Lodi yifl n <br /> ut SV <br /> 2. 1041/2 E. Lodi Avenue /w.� r' Lodi No Low ❑Unit 1 <br /> 3. 112 E. Lodi Avenue Lodi M,00 ALI)CO <br /> 2 IMr <br /> 4• 116 E. Lodi Avenue Lodi tiD No u) Unit it 2 2H V 7 PJ601" <br /> S. 122 E. Lodi Avenue Lodi <br /> 6. 301 S. Stockton Street A' C �I No 40( nit 3 <br /> ' C309 309 S. Stockton Street No` OG AD ALvI� nit4 <br /> $• 315 S. Stockton Street Lodi�r f. N SITE MITIGATI <br /> 9- 100 E. Lodi Avenue Lodi . D i / ffUnit5 <br /> 10. 204 E. LodiAvenue Lodi O ( <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES -. o <br /> n <br /> 7 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Z MEDICAL WASTE FACILITY 0 SOLID WASTE FAC`LLITYN H �`j w <br /> iIOTHER CLEANUP SITE(NON-LOP) 0HOUSING ABATEMENT 21WASTETIRE 4hIPS <br /> Q UNDERGROUND TANK(MONITORING/REMOVAL( ❑ (.lJFOOD FACILITY DAIRY , ) G9_74-1(0 <br /> Q ABOVEGROUND TANK 11�- ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> F1 HAZARDOUS WASTEIHAZARDOUS MATERIALS/- ❑MOTEL/HOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> El TIERED PERMITTED FACILITYc,1- - ❑POOLISPA Z LAND USE APPLICATION SITFs <br /> ❑TATTOOIBODY PIERCING 0 COMPLAINTIRESPONSE RECORDS Z OTHER(PLEASE SPECIFY)Well and Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING for#1 through#8 <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 /> i I- 00 , S <br /> b a QO 13 y 6ci, s - I-Ifo'• <br /> 510(n, r I-ZZ U. 14,7 1-11, p. <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 46-06 ;T� <br /> 711115 <br />