Laserfiche WebLink
DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> RECEIVEDENVIRO MENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 210M <br /> JAN 2 jT hone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTALHEA&BLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: WNOA/TERRACON <br /> OODS BUSINESS/AGENCY: <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATE/ZIP: 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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT TKWOODS(a)TERRACON.COM DATE 01/21/2016 <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> 1. 2510 North California Street Stockton U`�? .NJGUP 't 5i <br /> 2• 2102 North California Street �. �� Ft (� - 1 <br /> aI --. <br /> 1800 North California Street '( C.� nit 2 <br /> 4. 523 E Harding 0 ,Aj0 / CN'U '/t 2H <br /> 5. 1506 North California Street ]- <br /> /�`�� <br /> s• 1546 North California Street t0l <br /> J a nit 3 1�6] <br /> 7. 49 West Yokuts I � AN <br /> AjI U)/,6/2EPdnit 4 <br /> g. 3132 West March Lane J/S� SITE MITIGATION <br /> 9• 424 I Maple Street <br /> 10. 430 I Maple Street I N,3 S nit 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ❑UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Z MEDICAL WASTE FACILITY 0 SOLID WASTE FACILITY/VEHICLE <br /> ❑OTHER CLEANUP SITE(NON-LOP) Q HOUSING ABATEMENT 2TWASTE TIRE -1 CV Avr (-L4 <br /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL).,�_ ❑FOOD FACILITY ❑DAIRY P--; i- Z v—I Iv <br /> 0 ABOVEGROUND TANK �-- ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> ❑HAZARDOUS WASTEIHAZARDOUS MATERIALS°x ❑MOTELMOTEL ❑PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY?, ❑POOL/SPA LAND USE APPLICATION SITFs <br /> ❑TATTOO/BODY PIERCING COMPLAINT/RESPONSE RECORDS OTHER(PLEASE SPECIFY) Well and Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above 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. ***BOXED AREA-EHD USE ONLY*** <br /> r" 1'' 7 11 h 4e�_ ro r <br /> e <br />