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7 <br /> EHD LOG NUMBER <br /> DiRFEAGEIVED SAN JOAQUIN COUNT - <br /> I� ]]! <br /> e Iv Yb�i <br /> G_IVVIRONi4!lENTAL HEALTH DE iR �7 <br /> APR 2 2 200 1868 East Haze4ton Avenue, Stockton, CA 95205-6232 f <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.slgov.orglehd <br /> W'rtCNIWe4THE&TH PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESSIAGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITYISTATEIZIP: LODI, CA 95240 <br /> PHONE(1): 209-367-3701 PHONE(2): FAX OR E-MAIL: tkwoods@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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT rq DATE 04-13-2016 <br /> 1. List up to ten adpe �ffi=l—esdresses in the space below. Select the tys) 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: ❑ List❑ Map —Description: <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS EH® USE ONLY <br /> FILES <br /> City <br /> ®UNDERGROUND TANK(UST) Street# Street Name <br /> CLEANUP SITE(LOP) f ❑CONSllMER <br /> ®OTHER CLEANUP SITE(NCWLOP} 1 3 S. Pacific Avenue Lodi l <br /> ®HAZARDOUS WASTE <br /> 0 DyRY <br /> I�7[ p <br /> TIERED PERMITTED FACILITY 2 1111 VV. Century Blvd Lodi <br /> Z ABOVEGROUND TANK f� ((( f ❑A'ttti15 <br /> UST (FAONITORENG I REMOVAL} � / <br /> ®HAZARODt7S MATERIALS 3 �` � �� �!/�/1 (�6 /- <br /> �i <br /> ®SPILLIRELEASE RESPONSE V /// UWATER QUALITY <br /> SOLID WASTE FACILITY I VEHICLE 4 <br /> ❑FOOD FACILITY <br /> POOL I SPA 5 SITE MITIGATION <br /> DAIRY <br /> ®LAND USE APPLICATION SITES - e p <br /> HOUSING <br /> SEPTIC PUMPER TRUCK/ & <br /> YARD I CHEMICAL TOILETS _ , <br /> WASTEWATER TREATMENT PLANT fg CUPA <br /> HOUSING ASAT£M ENT 7 <br /> F­i MOTELlHCTEL - <br /> CUPA-HAZ-MAT <br /> CHICKEN RANCH I DOG KENNEL <br /> 8 <br /> ❑MEDICAL WASTE FACILITY - <br /> F-1 TAT OOIBCDY PIERCING [g SOLID WASTE <br /> WASTE TIRE g <br /> COMPLAINT <br /> ®OTHER(PLEASE SPECIFY'): ❑RGCOUNTIMG <br /> WELL AND SEPTIC PERMITS 10 <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 fEXCLUDING HOLIDAYS) <br /> —BOXED AREA-EHD USE ONLY— <br /> _ lr _ le d Icy ! <br /> riC > , IGS r „f r <br /> �tt0 7 .2 <br />