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EHD LOG NUMBER <br /> RECEIVED SAN .IOAQUIN COUNTY ,�-�• �^� '" <br /> FEB Q ��� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 i <br /> RONMEKrTALll"hone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> _ PERmrr/SERVECES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOA/Terracon <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 Tammy Woods (tkwoods@terracon.com) DATE 02/08/2016 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name CityAe Unit 1 <br /> V ' 1. 1617 N. California Street Stockton ' I ti� ' <br /> y 2 g nit 2 <br /> 3. <br /> 4. CC}'Unit 3 I�r tJD <br /> 5. SITE MITIGATION <br /> 6 2 Unit 4 <br /> 7. <br /> 8 E3,�6nit 5 <br /> 9. <br /> 10. [Q Lfrritfi` <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> Y�UNDERGROUND TANK(UST)CLEANUP SITE(LOP) lR]MEDICAL WASTE FACILITY 12 WASTF:SOLID (TIRE FACILITY/VEHICLE •� <br /> OTHER CLEANUP SITE(NON-LOP) lYj HOUSING ABATEMENT WASTE TIRE 1. �0/Cc,a.�A"17 <br /> XUNDERGROUND TANK(MONITORINGIREMOVAL) LJ FOOD FACILITY i�DAIRY l�/--2, ? <br /> IXI ABOVEGROUND TANK � ❑CHICKEN RANCH/DOG KENNEL I W WASTEWATER TREATMENT PLANT <br /> _X HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> CX_TIERED PERMITTED FACILITY n POOL/SPA IXI LAND USE APPLICATION SITES <br /> LJ TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS IXi OTHER(PLEASE SPECIF'Well & 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 /> iate <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$125 deposit prior to review. —BOXED AREA -EHD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> 5/11115 <br /> EHD 48-06 <br />