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SANdOAQUINRECEIV D <br /> nvlronmental Health Department <br /> " <br /> Lit 6 6` l —COU NTY APR I ? ZQj$ PUBLIC RECORDS RELEASE APPLICATION <br /> �• / Greatness grows hers.PEltWlfiQ' aoAltnr. FtDR€ PL 9�Li65 EHD LOG NUMBER: <br /> APPLICANT: Sadie Bodiford BUSINESS/AGENCY:Terracon Consultants,Inc. <br /> ADDRESS: 50 Goldenland Court,Suite 100 CITY/STATE/ZIP:Sacramento,CA 95834 <br /> PHONE(1): 916-246-5080 PHONE(2):916-928-4690 - FAX OR E-MAIL: sadie.bodiford@terracon.com <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 apointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Sadie Bodiford electronic signature) DATE 4-17-2018 <br /> 1. List up to ten addresses in the space below. Address 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 info(ai)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-5:0013M (EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List❑ Map-Description: <br /> Specific Date Range of Information Requested: From All to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p ) EHD USE ONLY <br /> FILES (Specific addresses only, address ran es will not be acce ted <br /> 0 Underground Tank(UST) street# Street Name City <br /> Cleanup Site(LOP) t^SP 11GONSUMER <br /> ❑X Other Cleanup Site(Non-LOP) ' 8715 Grant Line Road West Tracy " <br /> • ❑x Hazardous Waste H✓' -7 E]DAIRY <br /> ❑Tiered Permitted Facility z 724 Grant Line Road East Tracy P <br /> >M <br /> Q Aboveground Tank Awt <br /> Q UST (Monitoring I Removal) ❑PWS <br /> Q Hazardous Materials a <br /> Q Spill/Release Response f1 <br /> ❑Solid Waste Facility/Vehicle q (V WATEe OWurc <br /> ❑Food Facility <br /> ❑ Pool I Spa SITE MITIGATION <br /> ❑ Dairy 6 <br /> Q Land Use Application Sites •F' <br /> Q Septic Pumper Truck/ �'4• ❑Houswc <br /> 6 <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant Cl1PA <br /> ❑Housing Abatement 7 AST I HM I HW <br /> ❑Motel/Hotel <br /> ❑Chicken Ranch I Dog Kennel CUPA <br /> a e <br /> IJ Medical Waste Facility UST <br /> ❑Tattoo/Body Piercing ouo WASTE <br /> ❑Waste Tire,1 9 <br /> X Complaint t�•'�.E <br /> ❑Other(Please Specify): ❑AxounnNc <br /> 10 <br /> * BOXED AREA-EHD USE ONLY' <br /> • 1-1 1- IF'i— GPPRA 'r :MCQ 9� N c z�'ll ✓� <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: I:Ho III <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />