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'ECEIVED DATE RECEIVED EHD LOG NUMBER <br />SAN JOAQUIN COUNTY <br />APR 0 a 201 3 . <br />ENVIRONMENTAL HEALTH DEPAP�TV1E <br />RCNE�4Et� 1868 East Hazelton Avenue, Stockton, Ck, 95'65-6232 <br />=_ VL 209 46 ( ) J9 9 <br />PERiiITdSER`�6 qp ( ) 8-3420 Fax: 209 464-0138 Web: www.s ov.or /ehd <br />�'l1/E, PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: TAMMY WOODS BUSINESS/AGENCY: NOA/TERRACON <br />ADDRESS: 902 INDUSTRIAL WAY <br />PHONE (1): 209-367-3701 _ PHONE (2); <br />CITY/STATE/ZIP: LODI, CA 95240 <br />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 TKWOODSCaD-TERRACON.COM DATE_April 5, 2016 <br />9 Electronic information: ❑ List ❑ Map — Description: <br />Street <br />d104 <br />2-A 104 1/2 <br />IT 112 <br />4. <br />5. <br />-� 6. <br />7. <br />8. <br />9. <br />10. <br />116 <br />122 <br />301 <br />309 <br />315 <br />100 <br />W <br />FILE ADDRESS <br />Street Name <br />E. Lodi Avenue <br />E. Lodi Avenue <br />E. Lodi Avenue <br />E. Lodi Avenue <br />E. Lodi Avenue <br />S. Stockton Street <br />S. Stockton Street <br />S. Stockton Street <br />E. Lodi Avenue <br />E. Lcdi Avenue <br />City I <br />EHD USE ONLY <br />Lodi <br />Lodi <br />Lodi <br />I Nlp� <br />Lodi <br />Lodi <br />Lodi <br />Lodi <br />Lodi <br />Lodi <br />Lodi <br />WfIr— <br />N� <br />ti (O�i <br />N �, <br />1,;�, <br />Unit b4pl <br />it 2 spy Nook <br />nit 2H <br />3 <br />Lj�'Unit 4 <br />MITIGATION <br />it 5 <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />❑ UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ MEDICAL WASTE FACILITY Z SOLID WASTE FACILITYIVEHICLE <br />❑ OTHER CLEANUP SITE (NON -LOP) Q HOUSING ABATEMENT ZWASTE TIRE <br />Q UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />❑ ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL .WASTEWATER TREATMENT PLANT <br />❑ HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL <br />❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />TIERED PERMITTED FACILITY ❑ POOLISPA <br />❑ ❑LAND USE APPLICATION SITFs <br />TATTOOIBODY PIERCING <br />❑ COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) Well and Septic <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING f.- .- ..,:_Ithrol9h 8 <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 />