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RECEIVED <br /> SAN J Q A Q U I N MAY 31 201,5 Environmental Health Department <br /> C 0 U L,i T Y _ __ PUB IC RECORDS RELEASE APPLICATION <br /> ENVIROIR�A 'JI <br /> PE91'!T/ AMMEMAIL Ct <br /> • '4 A EHD LOG NUMBER: <br /> APPLICANT: TAMARA WOODS BUSINESS/AGENCY: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 infotoD.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: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS '—"DVD 711111? 9 <br /> HEALTH DEPARTMENT ( ponly, 9 p ) EHD USED <br /> FILES S ecifc addresses address ranges will not be accepted) LY <br /> ❑X Underground Tank(UST) Street# Street Name City <br /> CONSUMER <br /> Cleanup Site(LOP) ❑ <br /> ❑X Other Cleanup Site(Non-LOP) co <br /> 3233 E. Loomis Road Stockton <br /> • ❑X Hazardous Waste AZj t WT ❑DAIRY <br /> ❑X Tiered Permitted Facility 2 2660 E. Loomis Road Stockton <br /> Q Aboveground Tank ,tn�,TL" �r <br /> Q UST (Monitoring/Removal) ! �M p PWS <br /> ❑X Hazardous Materials <br /> 3 2850 E. Loomis Road Stockton -1j,µ, , w <br /> t� <br /> ❑X Spill/Release Response }.A M t'k 1 't I I [gAATER QUALITY <br /> Q Solid Waste Facility/Vehicle 4 2701 HWY 99 W FRONTAGE RD Stockton U'," t--c" V1n <br /> E]Food Facility v' H 1 r' <br /> Pool/Spa Q SITE MITIGATION <br /> Dairy <br /> ///ter/jq 5 2807 HWY 99 W FRONTAGE RD Stockton <br /> V <br /> ❑X Land Use Application Sites <br /> -y i i,-{i✓ OUsiNG <br /> ❑X Septic Pumper Truck/ 6 2829 HWY 99 W FRONTAGE RD Stockton ` f' <br /> Yard I Chemical Toilets Pm <br /> ❑Wastewater Treatment Plant CUPA <br /> Q Housing Abatement 2895 E. Loomis Road Stockton AST/HMIHW <br /> • <br /> Motel/Hotel <br /> Chicken Ranch/Dog Kennel �t", �'^� O�CUPA <br /> Medical Waste Facility <br /> 3007 E. Loomis Road Stockton UST <br /> ❑Tattoo/Body Piercing EgSOLID WASTE <br /> FRI Waste Tire 9 3018 E. Loomis Road Stockton �; ' ll <br /> 0 Complaint HSI 't <br /> Other(Please Specify): �ACCOUNTING <br /> 3164 E. Loomis Road Stockton �n,,c� <br /> ***BOXED AREA-EHD USE ONLY*** <br /> �I d1159 IJ p SUfi�� <br /> e 05 D 2. 53 <br /> ❑ Records provided by Staff-PPR Complete. staff Name: 39-343 Dos-os <br /> co op X513 W co 0o 23 y rnr�c7CGin Hn/ fi(Q 52Co3p Com�a�uint Co vc2 ►Y rrxP in(v <br /> 1868 E. Hazelton Avenue Stockton, California 952051 T 209 468-3420 1 F 209 4E34-0138 I www.sjcehd.com IMUS <br /> I II l Ids`' ,P(bvidQd Dan --- DvD. C-4 4 <br />