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0..^rB� /E(qL EHD LOG NUMBER <br /> 6r���E/litk-4.71,11i \n��'t+'p/'T,�\` SAN JOAQUIN COUNTY �/� <br /> ENVIRONMENTAL HEALTH DEPARTMENT / /� �j <br /> ��� ZQ�� IV 1868 East Hazelton Avenue. Stockton. CA 95205-6232 I 3 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TA MY WOODS BUSINESS/AGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITYISTATEIZIP: LODI,CA 95240 <br /> PHONE(1): 209.367-3701 PHONE(2): FAX OR E-MAIL: tkwoodspiarracon.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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT�i// �Et DATE 8-21-17 <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(2091464-0138 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. '61)A <br /> !1/� r) <br /> A <br /> 4. Any file not returned in the same condition as released Will be reorganized by EHD staff at the expense of the applicant. QI <br /> Future file reviews by the same applicant may require a$130 deposit prior to review. <br /> Electronic Information: ❑ List❑ Map—Description: <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EHD USE ONLY <br /> FILES <br /> _®UNDERGROUND TANK(UST) - City (- "{ <br /> CLEANUP SITE(LOP) ,g ,}m� 0 CONSUMER f <br /> 1333 E.Turner Road LODI S <br /> ®OTHER CLEANUP SITE(NON-LOP) <br /> lb OAR, <br /> ®HAZARDOUS WASTE <br /> ®TIERED PERMITTED FACILITY f 955 N.Guild Avenue LODI / ( f/ lLr <br /> ®ABOVEGROUND TANK , 1 []PWS <br /> ®UST(MONITORING/REMOVAL) LODI <br /> - E/./ 1H1 <br /> IA�1I�/tY/ <br /> ®HAZARDOUS MATERIALS 1030 N.Guild Avenue <br /> 'I <br /> ®SPILURELEASE RESPONSE WATERGIUA" <br /> ❑SOLID WASTE FACILIW I VEHICLE �{ 758 N.Guild Avenue LODI <br /> ❑FOOD FACILITY <br /> ❑POOL I SPA Lt � $ITE MITIGA9OY <br /> ❑DaaY � 1 Wine master Way LODI T} <br /> No.M��i <br /> LAND USE APPLICATION SITES ❑HOUSING <br /> ❑SEPTIC PUMPER TRUCK 770 N guild avenue LODI /C <br /> YARD/CHEMICAL TOILETS CUPA <br /> ❑WASTEWATER TREATMENT PLANT <br /> F1 HOUSING ABATEMENT / 17550 Nguild avenue LODI • ` ! <br /> ❑MOTELMOTEL CUPA-HAI-IAT <br /> ❑CHICKEN RANCH/DOG KENNELy/ <br /> $ 18695 Kennison lane LODI <br /> f-1MEDICAL WASTE FACILITY <br /> F1 TATIOOIBODY PIERCING Sp.lo WASTE <br /> ❑WASTE TIRE �e' 17807 Kennison Lane LODI . V� <br /> ❑COMPLAINT <br /> ACCOUNTING <br /> ❑OTHER(PLEASE SPECIFY): 0 <br /> 0 <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 /> ***BOXED AREA-EHD USE ONLY*** <br /> ' - ` n CD-� `,:✓t "fJZI �' �1 t -U-P- •9Ll ,n, R� k ' Lit- <br /> 0 <br /> C0 Records provided by Staff-PPR Complete. staff Name: <br />