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RECEIVED <br /> SAN J OAQ U I NEnvironmental Health Department <br /> -------COUNT Y -- JUN 0 r 2018 PUBLJC RECORDS RELEASE APPLICATION <br /> "131 <br /> `�� >� <br /> • f'Ef�MfT/�; MAILLv(D A EHD LOG NUMBER: qZ <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 6-5-18 <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 info(a)slcehd.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. 1 <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 <br /> HEALTH DEPARTMENT (Specific addresses only,address ranges will not be accepted) EHD USE ONLY.,,S <br /> Q Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) ti lt�t r _ CONSUMER <br /> Q Other Cleanup Site(Non-LOP) ' 2985 E. Loomis Road Stockton 'v f qo,;J t;56 <br /> Hazardous Waste DAIRY <br /> ❑ y 3112 E. Loomis Road Stocktony� toslt;s ��" � - '•� <br /> X Tiered Permitted Facilit X'1 Z <br /> 0 Aboveground Tank err( <br /> KVj IPS 1;3 4t)b,,..µ,ti. W/S <br /> Q UST (Monitoring/Removal) 2929 Stockton a fk 111-:n <br /> s HWY 99 W FRONTAGE RD �5'�ILKft3- tyM— <br /> ❑X Hazardous Materials <br /> X❑Spill/Release ResponseVNATER QUALITY <br /> ❑X Solid Waste Facility/Vehicle 4 <br /> ❑ Food Facility <br /> $ITE MITIGATION <br /> ❑Pool/Spa <br /> 5 <br /> ❑Dairy <br /> ❑Land Use Application Sites <br /> E]HouslNc <br /> ❑septic Pumper Truck/ 6 <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant �EUPA <br /> ❑Housing Abatement T AST/HM I HW <br /> ❑Motel/Hotel COPA <br /> ❑Chicken Ranch/Dog Kennel <br /> $ UST <br /> ❑ Medical Waste Facility <br /> ❑Tattoo/Body Piercing Sou.WASTE <br /> Q Waste Tire 9 <br /> ❑X Complaint <br /> ❑Other(Please Specify): ❑ACCOUNTING <br /> 10 <br /> ***BOXED AREA-EHD USE ONLY**** <br /> • .� , ci- l yi�... G(—\ (e, ,4-L!�z� <br /> ❑ Records provided by Staff-PPR Complete. staff Name: EHD 48-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />