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yti b � <br /> C CI`,'IE/rILJ!!� <br /> Y E SAN .IOAQUIN COUNTY � ` q� � -:• -�, MBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> �� 2 t ZQ� 1868 fast Hazelton Avenue, Stockton, CA 95205-6232 <br /> RCINMENTALHF1T�e <br /> � phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> 5t.TEtF <br /> PERmmsE-RVICM PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: NOA/TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP: LODI, CA95240 <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(cD,TERRACON.COM DATE 01/21/2016 <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> 1. 1805 N.California St#106 Stockton Nct- <br /> 2. 546 East Cleveland Street PVJ„1e). CO- ❑❑ Unit 1 <br /> 3. 409 Chestnut Street ~ 2`Unit 2 <br /> 4. 411 Chestnut Street p.unit2H <br /> 5. 415 East Chestnut Street `40-3Fh b, <br /> S- 1805 No California St,#406 _ 2'Unit 3 "J <br /> 7. 180 - Lo,5`U Pzd t& I Loch @�It <br /> 8• I Q e ` Loct� - \VQ 19"SITE MITIGATION <br /> 9. Ga I E LWU Xfee LodA L'aP�4,+5 -C-0 <br /> 10. I.7j �� i I Lft LOP-0 19'Unit5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> V1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Z MEDICAL WASTE FACILITY 0 SOLID WASTE FACILITYNEHICLE <br /> 71 OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY Z DAIRY <br /> Q ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL Of WASTEWATER TREATMENT PLANT <br /> Z HAZARDOUS WASTEIHAZARDOUS MATERIALS - ❑MOTELIHOTEL Z PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> 21 TIERED PERMITTED FACILITY ❑POOLISPA Z LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING 0 COMPLAINVRESPONSE RECORDS Z OTHER(PLEASE SPECIFY) Well and Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (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 /> N\14el LOP kr - - keib5l LoXi kot via 0. PNJA fwa 6gi LA I& <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 46-06 711/15 <br />