Laserfiche WebLink
KEGEIVED to Y <br /> DATE CEIVED SAN JOAQUIN CO S. ] FIL[D LCUE <br /> N <br /> 19 201? ENVIRONMENTAL HEALTH DEPARTMENT <br /> ENVIRONN I N'TAL HMTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PER191T/SERVt�'.,ES <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd 6'5q5l <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-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ]/a' ��i )�� DATE 01-03-2017 <br /> 1. List up to ten addresses in the space below. Select the type(s)of 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 EHD USE ONLY <br /> FILES <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) <br /> ®OTHER CLEANUP SITE(NON LOP) 24511 N.ST RT 99 , ACAMPO [1 CONSUMER 1 <br /> ®HAZARDOUS WASTE (. ❑DAIRY 121 <br /> ®TIERED PERMITTED FACILITY 2 24327 N.ST RT 99 �� ACAMPO `` 2 <br /> ®ABOVEGROUND TANK l(vI <br /> ®UST (MONITORING/REMOVAL) ( ElPWS <br /> ®HAZARDOUS MATERIALS s 24323 N.ST RT 99 , ACAMPO <br /> ®SPILURELEASERESPONS�Vri WATER QUALITY <br /> ®SOLID WASTE FACILITY/VEHICL 41 24355 N.ST RT 99 ACAMPO <br /> FOOD FACILITY <br /> ❑POOL ISPA <br /> 7 DAIRY 5 24155 N.ST RT 99 ACAMPO i SITE MITIGATION <br /> LAND USE APPLICATION SITES <br /> ❑HOUSING <br /> SEPTIC PUMPER TRUCK/ s' 23987 N.ST RT 99 ACAMPO � <br /> YARD I CHEMICAL TOILETS <br /> F]WASTEWATER TREATMENT PLANT U CUPA <br /> i]HOUSING ABATEMENT 7 <br /> MOTELIHOTEL Ug <br /> F-1 CHICKEN RANCH/DOG KENNEL CUPA-1ffti-NAT <br /> MEDICAL WASTE FACILITY E <br /> TATTOO/BODY PIERCING SOLID WASTE <br /> ®WASTE TIRE 9 <br /> ®COMPLAINT <br /> ®OTHER(PLEASE SPECIFY: ACCOUNTING <br /> WELL AND SEPTIC PERMITS 10 <br /> For#1,2&3 ADDRESS ONLY <br /> Specific Date Range of Information Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY B:OO AM-5:OOPM(EXCLUDING HOLIDAYS <br /> ***BOXED AREA-EHD USE ONLY*** <br /> • <br /> 0 Re®r , o ided by Sta f-PPR Complete. Staff Name: <br />