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11/01/2016 10 : 52 : 02 AM —0500 Terracon Fax ServerRUSOE E2 OF <br /> tl V SAN JOAQUIN COUNTY q957 jX16ENVIRONMENTAL HEALTH DEPARTMENT <br /> NI! 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/eh <br /> PRO1*I?EN[ N.Ei'__'.1 <br /> rT��`"r' PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Sadie Bodiford BUSINESS/AGENCY: Terracon <br /> ADDRESS: 50 Golden land Court, Suite 100 CITY/STATE/ZIP: Sacramento, CA 95834 <br /> PHONE (1): 916-246-5080 PHONE (2): 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 appointment date and time to review the requested records. <br /> X CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City °Ik3 <br /> 1• 2025 West Hazelton Avenue Stockton poen <br /> 2 ❑Unit 1 <br /> 3. unit 2 <br /> 4. ❑Unit 2H <br /> 5. Uniit�t��3 <br /> 6' NO Unit 344 <br /> 7. ❑ Unit <br /> 9• SITE MITIGATION <br /> 9. <br /> ❑Unit 5 <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> [J UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MOTELIHOTEL ❑SOLID WASTE FACILITYNEHICLE <br /> [X]OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ❑FOOD FACILITY <br /> L]UNDERGROUND TANK(MONITORINGIREMOVAL) ❑WASTE TIRE ❑DAIRY,POOUSPA <br /> [XI ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> [XI HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> [XI HAZARDOUS MATERIALS ❑TATTOOIBODY PIERCING ❑LAND USE APPLICATION SITES <br /> U TIERED PERMITTED FACILITY [X]COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00AM-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. <br /> "`BOXED AREA-EHD USE ONLY"' <br /> A GnrnrAe nrt.t,i`Ierl by Graff-000 r- K"1 Iu40 Staff Name: <br /> Received Time=Nov. 1. =2016= 6:48AgNo. 0256 <br />