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SANJOUPFFCEIVED <br /> Y- r' Environmental Health Department <br /> _ <br /> —COUNTY----FEB 12 2018 n a PUBLIC RECORDS RELEASE APPLICATION <br /> • ENVIRONMENTALHEALTH 213 EHD LOG NUMBER: <br /> APPLICANT: Tamara Woods PERMITARMBES <br /> BUSINESS/AGENCY: Terracon <br /> ADDRESS: 902 Industrial Way CITYISTATE/zIP:_Lodi CA 95240 <br /> PHONE(1): _209-269-8586 PHONE(2): FAX OR E-MAIL:tkwoods@terracon.com <br /> urease allow 1u business days from date of application submittal for the records to be available. <br /> Staff will contact you to arranoe an a000intment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT _ DATE-2-12-18 <br /> 1. List up to ten addresses in the space Delow. /Acaress ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one File type MUST be selected. Fax to(209)464-0138, mail to the <br /> address indicated below,or email to infoCa)sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map-Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> y gaccepted) J EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be <br /> •Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) J ❑eousumea <br /> Other Cleanup Site(Non-LOP) 330 I Kettleman Lane odi 5m f4(� G� <br /> • gHazardous Waste O 1/ hRr <br /> ❑Tiered Permitted Facility Y 100 W. Lodi Avenue Lodi W `� ,(,L�� ) <br /> ❑Aboveground Tank ` SYt ^'- "^' ' +✓i <br /> Z'UST (Monitoring/Removal) ` U <br /> ❑Hazardous Materials 9 420 S. Pleasant Avenue Lodi <br /> M <br /> ,H Spill/Release Response 5i — <br /> a 14M 6P <br /> Solid Waste Facility/Vehicle 4 820 S. Cluff Avenue .Lodi / a�5 " <br /> F-1FoodFacility `,f•s H�+NtAy ASj , <br /> ❑Pool/Spa Sue MmcnnoN <br /> F1 Dairy 6 25251 S. Hutchins Street Lodi <br /> ❑Land Use Application Sites h' y` (�,r ' <br /> HOIl51NG <br /> ❑Septic Pumper Truck l 6 902 Iindustrial Way Lodi 11 C, <br /> Yard/Chemical Toilets ..r,I-AM (,,,, '1- <br /> WastewaterTreatment Plant Lo>(,. ,'ZST CUPA <br /> ❑Housing Abatement T 420 Kettleman Lane I Lodi 3, i_+m HW <br /> Motel/Hotel <br /> Chicken Ranch/Dag KennelUPA <br /> 6 501 I Kettleman Lane Lodi A CA= 0::� DST <br /> ❑ <br /> Medical Waste Facility 0 y, F•1W(,i) <br /> ❑Tattoo/Body Piercing on <br /> I�Sorin Wn <br /> F1 waste Tire 9 514 I Kettleman Lane Lodi V r <br /> 'Complaint ppit iAVY N <br /> ❑Other(Please Specify): <br /> ,a 1025 IIndustrial Way1F._ G Lodi I V <br /> T� rDp �T <br /> "BOXED AREA•EHD USE ONLY" <br /> ull, 7- 2 (";, l o� MIN, A�r,^ el of do c,,.,t r 44Lam. �- <br /> wecAlwea on s -I <br /> D Records provided by Staff-PPR Complete. staff Name: EHD 4M6 <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />