Laserfiche WebLink
RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> FEB 2-. ZQ1� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> - .,EWRONMENTAL HEALTH <br /> PERIAITISERMCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT:— Tammy Woods NOA/Terracon <br /> BUSINESS/AGENCY: <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 02/23/2016 <br /> Electronic Information: ❑ List ❑ Map–Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 1130 �S CHEROKEE LANE N� �� LODI 0 , D <br /> 2. 1045 S CHEROKEE LANE I LODI '��,' <br /> N�� �7 Unit 2 <br /> 3. 1110 �S CHEROKEE LANE LODI ) / IU0GD/�jr fl ? <br /> 4. 1120 S CHEROKEE LANE tiODI WNU !g Unit 3 J3�� <br /> 5. 1140 IS CHEROKEE LANE LODI <br /> SITE MITIGATION <br /> 6. <br /> 1150 CHEROKEE LANE ilk, P Jr, LODI ❑ Unit <br /> �-1 7. 1230 IS CHEROKEE LANE � LODI Nj , No <br /> $ ["Unit 5 <br /> 9. <br /> 10. <br /> C uA+t-a <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY V SOLID WASTE FACILITYIVEHICLE L <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT WASTE TIRE CO r'' <br /> IXI UNDERGROUND TANK(MONITORING/REMOVAL)j, LJ FOOD FACILITY DAIRY 16,19, <br /> IXI ABOVEGROUND TANK -/— ❑CHICKEN RANCH/DOG KENNEL �Y WASTEWATER TREATMENT PLANT <br /> XI HAZARDOUS WASTEIHAZARDOUS MATERIALS d— ❑MOTEL/HOTEL '1 1 PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> �(J TIERED PERMITTED FACILITY CX, ❑POOLISPA IXI LAND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS �Q OTHER(PLEASE SPECIF'Wel I & 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 /> 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 k^.,ill he confirmed approximately ten (1.0) <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 /> LORecords provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 5/11/15 <br />