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HLULIVED <br /> DATE RECEIVED EHD LOG NUMBER <br /> +f SAN .IOAQUIN COUNTY <br /> � i.' 3 o 2017 '\jAer �(W ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> t fdliEGNf fiALFt }{ Telephone: (209)468-3420 Fax: (209)4640138 Web:www.sjgov.org/ehd <br /> • � � ; PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY - CITY/STATE/ZIP: LODI, CA 95240 <br /> PHONE(1): 209.367.3701 PHONE(2): FAX OR E-MAIL: tkwoods(&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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$$1130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> T'/�/ <br /> SIGNATURE OF APPLICANT /� 4 / J�¶1,yi � DATE 5-23-17 <br /> 1. List up to ten addresses in the space below. Select the type(s)off files from the list below 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 /> Electronic Information: ❑ List❑ Map–Description: <br /> ENVIRONMENTAL –` <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name city <br /> CLEANUP SITE(LOP) <br /> t 224 Main Street Lodi —) wr [I CONSUMER <br /> ®OTHER CLEANUP SITE(NON-LOP) <br /> • ®HAZARDOUS WASTE ❑DAIRY <br /> ®TIERED PERMITTED FACILITY z 532 Lockeford Street Lodi r <br /> [XI ABOVEGROUND TANK <br /> ®UST (MONITORING/REMOVAL) ❑PWS <br /> ®HAZARDOUS MATERIALS 3 <br /> ®SPILURELEASE RESPONSE <br /> ❑SOLID WASTE FACILITY/VEHICLE 4I/1 'SIh �//�yA/TEyR�IOUALRV <br /> F]FOOD FACILITY <br /> POOL/SPA --// <br /> ❑DAIRY 5 S/Sm MITIGATION. <br /> ❑LAND USE APPLICATION SITES <br /> ❑SEPTIC PUMPER TRUCK/ B ❑HOUSING <br /> YARD/CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT CUPA NyT <br /> ❑HOUSING ABATEMENT 7 <br /> ❑MOTEUHOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL CUPA-HAZ-MAT <br /> a <br /> ❑MEDICAL WASTE FACILITY <br /> ❑TATTOO/BODY PIERCING <br /> SOLID WasTE <br /> ❑WASTE TIRE 9 <br /> ®COMPLAINT <br /> ❑OTHER(PLEASE SPECIFY): ❑ACCOUNTING <br /> 10 <br /> Specific Date Range of Information Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00pm(EXCLUDING HOLIDAYS) <br /> • ***BOXED AREA-EHD USE ONLY*** <br /> [C3ERecords provided by Staff-PPR Complete. Staff Name: <br />