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SAN 1OAQlCEIVED Environmental Health Department <br /> —COUNTY—FEB 12 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> • ec, //ll J� <br /> ENVIRONMENTAL HEALTH PEREHD LOG NUMBER: <br /> Tamara Woods RL <br /> APPLICANT: 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:tkwoodsterracon.com <br /> rlease allow iu business days from date of application submittal for the records to be available. <br /> Staff will contact you to arranae an annointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT - - /m.; „ DATE 2-12-18 <br /> 1. List up to ten addresses in the space oelow.�Aa less ranges WILL NOT be accepted. Select the <br /> p g p types)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 infoiccDsicehd.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. I � <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 FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 p <br /> FILES (Specific addresses only,address ranges will not be accepted) EHD USE ONLY <br /> ,0 ndergmund Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) i i � P (� ❑CONSUMER <br /> + Lodi <br /> .L'Jn <br /> n L <br /> • I ae�I-/� <br /> Other Cleanup Site(Non-LOP) 330 Kettlema <br /> H Hy,v�n <br /> Hazardous Waste DAIRY <br /> Tiered Permitted Facility I 100 W. Lodi Avenue I Lodi <br /> Aboveground Tank SPS FIN'rwS i W' <br /> ZIUST (Monitoring/Removal ❑PWS <br /> Hazardous Materials <br /> 420 I S. Pleasant Avenue Lodi <br /> ,g Spill/Release Response H <br /> Solid Waste Facility/Vehicle y ` (� WArea Duum <br /> 820 S. Cluff Avenue Lodi ) <br /> Food FaGD hM <br /> Facility ',�+.� N�+liW NST <br /> ❑Pool/Spa gra MlncnnoR <br /> Dairy 5 25251 S. Hutchins Street I Lodi <br /> Land Use Application Sites S �i° <br /> ❑HousWc <br /> Septic Pumper Truck/ a 902 1Industrial Way Lodi <br /> Yard/Chemical Toilets <br /> Wastewater Treatment PlantCPnp. , � L:I CUPA <br /> E]Housing Abatement 7 420 1 Kettleman Lane Lodi WI1 T r AST/HM/HW <br /> Motel/Hotel t1M <br /> Chicken Ranch/Dog Kennel La Fit UPA <br /> Medical Waste Facility a 501 Kettleman Lane I Lodi P Tit LIST <br /> r.Sil j-tW Cu'M <br /> ❑Tattoo/Body Pk:ming ❑SOLID WASTE <br /> Waste Tire 9 514 I Kettleman Lane Lodi <br /> complaint M ly, <br /> Other(Please Specify): ❑ACc0uNTINe <br /> ,o 1025 Industrial Way Dodi -l,�l°fll� <br /> ak <br /> •"BOXED AREA-EHD USE ONLY— <br /> • l cF Z ) 14 G cKk� (� ( ;.-d rKo { 6MAI <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD aa.oe <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />