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RECEIVED <br /> DATE RECEIVEDcl HD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ` PR a 2016, ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENViRONFAENTALBEALTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PERMIT/SER\A ep ane: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: NOA/TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/Z[P: 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(a)TERRACON.COM DATE April 5, 2016 <br /> Electronic Information: ❑ List ❑ Map- Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name i City <br /> 1. 104 E. Lodi Avenue G G Lodi !ID Vn& " <br /> 2 104 1/2 E. Lodi Avenue N.G T' Lodi NU �0(1/6'/ <br /> ❑ Unit 1 <br /> , 4 112 E. Lodi Avenue Lodi I�h �J�0M, �v it z <br /> 4. 116 E. Lodi Avenue Lodi IUB tic B-"Unit 2H by Nbot� <br /> 5. 122 E. Lodi Avenue Lodi <br /> s• 301 S. Stockton Street i No c()�l nit 3 <br /> 77• 309 S. Stockton Street Ard <br /> 8. 315 S. Stockton Street Lodi <br /> N100 E. Lodi Avenue Lodi fl�Y pZ . � lc SITE M{TIGHT{ <br /> 9 lel <br /> 10. . 204 E. LOdI AVeiiUe f <br /> Lou" D �� 0 Unit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Z MEDICAL WASTE FACILITY ^ �f <br /> SOLID WASTE FAC LITYJVEH C � t�Gtl� <br /> 0 OTHER CLEANUP SITE(NON-LOP) 2 HOUSING ABATEMENT WASTE TIRE r'�� 5 Jt <br /> UNDERGROUND TANK(MONITORING/REMOVALb( ❑FOOD FACILITY ❑DAIRY ; A 9--Zo 1 <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL �{ <br /> 71 HAZARDOUS WASTEIHAZARDOUS MATERIALS"L -YJ WASTEWATER TREATMENT PLANT <br /> ❑MOTELMOTEL ❑PUMPER TRUCKNARD/CHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY,i.- ❑POOL/SPA <br /> ❑ 0 LAND USE APPLICATION SirFc <br /> TATTOOIBODY PIERCING <br /> COMPLAINT/RESPONSE 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 41 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 /> r 0.nn co , V / <br /> �u Of) 1 .-3 r 10 c;- s 1 fL Ctt <br /> I'- - y VD(„ t IZZ Ud <br /> {� <br /> L Records Drovided by Staff-PPR Complete. staff Name: II <br /> EHD 48-06 <br /> 7/1/15 <br />