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'�'"IE EVED <br /> EHD LOG NUMBER <br /> C�A CD fff���fffJ SRN TAL HEALTH <br /> COUNTY C <br /> © F0, <br /> Y <br /> JUL 31 ��jy ENVIRONMENTAL FiEALTF9 DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> hone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMIT SERNCE � <br /> PUBLIC RECORDS RELEASE APPLICATION iv <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOAr"cL� V Q_i_ <br /> ADDRESS: _A(17 Inrillctrial Way CITY/STATEIZIP:_Lodi, CA 95240 <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 /> n CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Tammy Woods DATE 07-31-2015 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City <br /> 1. 4221 E. Mariposa Road Stockton S;f e A., <br /> 2. 4801 Icarpenter Road Stockton unit 1 � <br /> 3. 4863 Carpenter Road Stockton ,E]-Unit2 <br /> 4. _pUnit 2H <br /> r „ <br /> Unit3 —` <br /> 7. q�%"�„�•i' �I.'�.it _C_ ��4 \.F-� - �l. ,DUnit4 <br /> Q <br /> SITE MITIGATION <br /> 9. <br /> 10. ❑-Unit 5 <br /> Specific Date Range of Information Requested: From all VP.arC to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> F)(1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [X-1 MEDICAL WASTE FACILITY n SOLID WASTE FACILITYiVEHICLE <br /> IXI OTHER CLEANUP SITE(NON-LOP) IXI HOUSING ABATEMENT IXI WASTE TIRE <br /> IXI UNDERGROUND TANK(MONITORINGIREMOVAL) FOOD FACILITY X DAIRY <br /> XJ ABOVEGROUND TANK CHICKEN RANCH/DOG KENNEL IA WASTEWATER TREATMENT PLANT <br /> ®_HAZARDOUS WASTEIHAZARDOUS MATERIALS UMOTELIHOTEL I]�' PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> `O TIERED PERMITTED FACILITY rl POOLISPA ❑LAND USE APPLICATION SITES Septic and <br /> H TATTOD/BODY PIERCING IRI COMPLAINTIRESPONSE RECORDS I�4 OTHER(PLEASE SPECIFY) fWell or theePermits <br /> ad i <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLI dress of 4221 <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropri E.Mariposa <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Ad Only <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 /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 4846 711115 <br />