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Env <br /> 0 �, . t, Gf� �� ironmes_ Health Department <br /> SA <br /> C(�U N T Y ,, p� p� ;� PUBLIC RECORDS RELEASE APPLICATION <br /> Greatr1_ss crCVvs !'lel',. Etl�VlR'L9NN 00)j <br /> PE UT/ "Moes EMAIL EHD LOG NUMBER: Y C <br /> APPLICANT: TAMARA WOODS BUSINESSIAGENCY:TERRACON CONSULTANTS INC. <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP:LODI,CA 95240 <br /> PHONE(1): 209-269-8586 PHONE(2): FAX OR E-MAIL: TAMARA.WOODS@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 /> SIGNATURE OF APPLICANT DATE 5-31-18 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)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 info(d)sicehd.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. <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: r: „ ■ .. <br /> Specific Date Range of Information Requested: From to r i <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( p y 9 accepted) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> Fx Underground Tank(UST) - Street# Street Name City <br /> Cleanup Site(LOP) , . E]CONSUMER <br /> 3233 E. Loomis Road Stockton U <br /> Q Other Cleanup Site(Non-LOP) � 5r,1W // <br /> ® Hazardous Waste A`i'tWT DAIRY <br /> ®Tiered Permitted Facility 2 2660 E. Loomis Road Stocktonc�"' tk_ <br /> ®Aboveground Tank ly� `�N"TLO <br /> ❑X UST (Monitoring/Removal) -- N \ 1.�VMM <br /> FXJ Hazardous Materials p PWS <br /> 3 2850 E. Loomis Road Stockton <br /> Q Spill/Release Response �: ,1V (gyp, ,k y"f 04ATERQUAL- <br /> Q Solid Waste Facility/Vehicle d� ` 701 HWY 99 W FRONTAGE RD Stockton 0 +C, <br /> Food Facility /� � � <br /> ❑Pool/Spa to fes,I_1irJ Q SITE MITIGATION <br /> 6 <br /> Dairy 2807 HWY 99 W FRONTAGE RD Stockton <br /> Q Land Use Application Sites U%'h i,IAIn 4OUSING <br /> I 8 <br /> Q Septic Pumper Truck/ g.:2829 HWY 99 W FRONTAGE RD StOCkOn L'� <br /> Yard/Chemical Toilets /� I <br /> F1 Wastewater Treatment Plant [I`CUPA <br /> ®Housing Abatement 7 2895 E. Loomis Road St1o` ckPn AST/HM/HW <br /> F]Motel/Hotel - <br /> Chicken Ranch/Dog Kennel 3007 E. Loomis Road St Iton UST <br /> 8 J lJ <br /> Medical Waste Facility ,/ <br /> Tattoo/Body Piercing _ 1-+t/I �T 1 I� Q'SOLID WASTE <br /> Q Waste Tire 9 3018 E. Loomis Road Stockton <br /> Q Complaint . % LO IN <br /> R Other(Please Specify): � AccQUNTING <br /> 3164 E. Loomis Road Stockton _ <br /> ***BOXED AREA-EHD USE ONLY*** <br /> ' att,�ti �AAt1,e- [[.,,,,e. n�.le5,j�w�.L ; --- <br /> '\r \ <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: `'� �VU EHD 48-06 <br /> i <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468 34 j F 209 464-0138 1 www.sjcehd.com <br />