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DATE RECEIVED EHD LOG NUMBER <br /> RECEIVED <br /> ECEI E SAN TAL HEAQUIN COUNTY 1911924 <br /> f1CVC 1f ENVIRONMENTAL HEALTH DEPARTMENT <br /> SEP 0 4 2015 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: AMMY WOODS BUSINESS/AGENCY: NOA/l ERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP: LODI. CA 95240 <br /> PHONE (1): 209-367-3701 PHONE(2): j�Il+uuel.,J, �: N ; ,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 ONLYI-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT TKWOODS@TERRACON.COM DATE 09-03-15 <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> FILE ADDRESS <br /> Street# Street Name City <br /> EHD USE ONLY <br /> 1. 6 S. ELDORADO STREET STOCKTON WN= <br /> 2. 49 S. HUNTER STREET STOCKTON A/Ft <br /> ❑Unit 1 <br /> 3. 24 S. HUNTER STREET j STOCKTON LOP -co EX16"it2 /(G <br /> 4. 22 E. MARKET STREET j STOCKTON LDP 1- 5-r-O nit 2H <br /> 5. 141 EL DORADO STREET STOCKTON LOP F RePeScU <br /> - <br /> 6. D UUnit 3 <br /> T' E nit4 <br /> 8' SITE MITIGATION <br /> 9. <br /> 10. <br /> Unit 5 <br /> Specific Date Range of Information Requested: From ALL to <br /> ENVIRON MENTAL HEALTH DEPARTMENT FILES <br /> fXI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [I MEDICAL WASTE FACILITY FX_SOLID WASTE FACILITYNEHICLE <br /> 4°J OTHER CLEANUP SITE(NON•LOP) I HOUSING ABATEMENT IX WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) U FOOD FACILITY ❑DAIRY <br /> �X ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE/HAZARDOUS MATERIALS iX MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA LAND USE APPLICATION SITES <br /> H TATTOOIBODY PIERCING I3�COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <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 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 /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 711115 <br />