Laserfiche WebLink
NtUH V EV <br /> DATEEIVED <br /> 11,, Is 20le-1 SAN .IOAQUIN COUN USH EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> f Nb7RQIVf1Rf NTALHFA4LTH 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> PEI'MI`Tl iERVr_E2 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd 615451 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATEIZIP: LODI, CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2): FAX OR E-MAIi_: _tkwoodsPte_rracon.corn <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 /> D CHECK BOX TO EXPEDITE REQUEST-$130 FEE=(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��jJ/�/ /�r �✓ l�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: L] List❑ Map—Description: <br /> ENVIRONMENTAL I V �r� ✓ c_,O- 1iff", I-Z('--[7 <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> E UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) u,7 El E OTHER CLEANUP SITE(NON-LOP) 24511 N.ST RT 99 ACAMPO IIJ / " 1`Q <br /> E HAZARDOUS WASTE [3 DAIRYAJ <br /> P-Y <br /> E TIERED PERMITTED FACILITY 2 24327 N.ST RT 99 ACAMPO r � <br /> E ABOVEGROUND TANK cO` <br /> E UST (MONITORING I REMOVAL) a ,- y G E7 PWS <br /> HAZARDOUS MATERIALS a 24323 N.ST RT 99 ACAMPO <br /> ® c;1464A-VA-30D05-3 r <br /> ESPILURELEASE RESPONSE f [j WATER QUALITY <br /> E SOLID WASTE FACILITY I VEHICLE 4 24355 N.ST RT 99 ACAMPO W �'"U 0 6` <br /> { ❑FOOD FACILITY <br /> ❑POOL I SPA <br /> F]DAIRY 5 24155 N.ST RT 99 AC AM PO ry �nA 'SITE MITIGATION <br /> ❑LAND USE APPLICATION SITES '1t f �1�Y <br /> ❑SEPTIC PUMPER TRUCK I 6 23987 N.ST RT 99 ACAM PO u T�I �� � 1 �PA y Q IIODSING <br /> YARD I CHEMICAL TOILETS y L 6 <br /> ❑WASTEWATER TREATMENT PLANT st1 � - CUPA <br /> ❑HOUSING ABATEMENT 7 FA DI DO-7 ✓ <br /> ❑MOTFL1HOTEL FE; W II 210 ✓ 4 U.( <br /> [ CHICKEN RANCH I DOG KENNEL COPA-HRS IA{4T <br /> ❑MEDICAL WASTE FACILITY 8 <br /> ❑TATTOOIBODY PIERCING SOLID WASTE <br /> E WASTE TIRE 9 <br /> E COMPLAINT <br /> E OTHER(PtEASE SPECIFY): ❑ACCOUNTING <br /> WELL AND SEPTIC PERMITS 10 �� <br /> Far#1,2&3 ADDRESS ONLY tt- <br /> Specific Date Range of Information Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM EXCLUDING HOLIDAYS <br /> `s ***BOXED AREA-EHD USE QNLY**' N) 751 � <br /> w 1A` -7 s z t o v� H" 3� <br /> Q �` <br /> 0 Records provided by Staff-PPR Complete. Staff Name: <br />