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RECEIVED <br /> SA%JOAQUINEnvironmental Health Department <br /> COUNT',' JUIN or" 2038 PUBLf RECORDS RELEASE APPLICATION <br /> 1,131 <br /> .ter:�Cr'Ir_ Ca ri t,g i -E3Y'Y3fi4NhkW, MAIL �(0 A� 1011"07 <br /> • ���� ` (.0' EHD LOG NUMBER: 10 <br /> APPLICANT: TAMARA WOODS BUSINESS/AGENCY:TERRACON CONSULTANTS INC. <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATEIZIP: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-)sicehd.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. f <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) M <br /> p ) EHD USE ONLY <br /> FILES <br /> Q Underground Tank(UST) Street# Street Name City "� y <br /> Cleanup Site(LOP) (t rl{w — CONSUMER <br /> O Other Cleanup Site(Non-LOP) ' 2985 E. Loomis Road Stocktonfno;;L 61e <br /> n Hazardous Waste MNti-km ,5ft T Z'j` DAIRY <br /> ❑X Tiered Permitted Facility 2 3112 E. Loomis Road Stockton ��� ►oRt�S�,*'�9� Z -�'� <br /> ❑X Aboveground Tank q� <br /> ❑X UST (Monitoring I Removal) 1tM�MlW w y%&j -K4 WS <br /> 0 Hazardous Materials 3 2929 HWY 99 W FRONTAGE RD Stockton <br /> ❑X Spill I Release Response ATER QUALITY <br /> Q Solid Waste Facility I Vehicle 4 <br /> n Food Facility <br /> ITE MITIGATION <br /> ❑Pool I Spa <br /> 5 <br /> Dairy <br /> ❑Land Use Application Sites <br /> �HouswG <br /> ❑septic Pumper Truck 1 5 <br /> Yard I Chemical Toilets <br /> Wastewater Treatment Plant <br /> Housing Abatement 7 AST I HM/HW <br /> HW <br /> Ej Motel/Hotel COPA <br /> Chicken Ranch I Dog Kennel <br /> S UST <br /> Medical Waste Facility <br /> Tattoo/Body Piercing SOLID WASTE <br /> Q Waste Tire 9 <br /> Q Complaint <br /> Other(Please Specify): < ❑ACCOUMING <br /> io <br /> ***BOXED AREA-EHD USE ONLY*** <br /> 61 tj i� PIv"t `'felon( 11, 1� Lorre, fC(� v ( i t �.� �^�i to �1�� ;,' <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 />