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v'RECEIVEL <br /> AMM�S A N J 0 A Q IJ I N� h A ' ; 6jd9 Ea ea Deur mea <br /> c oU – PUBLIC RECORDS RELEASE APPLICATION <br /> Is �`IV�fIR09�,u - Y i ^� q <br /> D'. .' 71T( y %EMAIL �• �� <br /> EHD LOG NUMBER: <br /> APPLICANT01MARA WOOD BUSINESS/AGENCY:TERRACON CONSULTANTS INc:.4MII <br /> ADDRESS: 902 INDUSTRIAL WAYCITY/STATE/ZIP:LODI,CA 95240 <br /> PHONE (1): 209-26-0 8586 .PHONE(2): -FAX OR E-MAIL: TAMARA.WOODS@TERRACON COfr1. <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will conntyet ra ral ge n a ointment date and time to review the requested records. <br /> Si'GNATURE OF APPLICANT DATE 5-31-t" <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 /> 0 list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138,ma'e to th% <br /> address kidicated below, or email to 'snfoftsicehd.com. Applications received after 3:03 pm wi:i; be processed the next <br /> business day <br /> 2. For assistance In I en I ying the nature and confenTof EHD records, please contact EHD at the number noted below. <br /> • <br /> 3. The EHD wall 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 wil,1 be held for a maximum of five business days for review. Appointments <br /> 0 should be scheduled accordingly. <br /> 4. Any file not returned in the same conditon as re eased will a reorganized by Emu staft at the expense o e app c <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. - <br /> • 0 WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FROAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> • Electronic Information: ❑ List❑ Map–Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL , ADW II II MLLY <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> il� FILES (Specific addresses only, address ranges will not be accepted) •EHD USE <br /> Underground Tank(UST) ' Street# Street Name City <br /> • Cleanup Site(LOP) ! Y I ❑CoNsunEa <br /> ❑x Other Cleanup Site(Non-LOP <br /> 3233 E*Loomis Road Stockton I 77w, CA <br /> ❑X Hazardous Waste • fajt,WT EI DA ,v <br /> ❑R Tiered Permitted Facility 2 2660 E. Loomis Road Stockton 1-04,1-11,'FX Aboveground Tank W F UyT4' <br /> Q UST (Monitoring I o ) Y NM pit <br /> �� <br /> ��� <br /> ❑X Hazardous Materials [fa <br /> 0 ockton 1-0 2850 E*Loomis Road St <br /> ❑X Spill/Release Response � N M,d�,j , ArErx QUALITY <br /> Solid Waste Facility/vehicle2701 HWY 99 W FRONTAGE RD Stockton �1 t�L� • <br /> ❑Food Facility <br /> Pool/S a r Y raw [SnE MITIGATION <br /> El❑Dairy <br /> 2807 Stockton <br /> A4e <br /> 0Land Use Application_rtes <br /> n r" EI HouslNc <br /> Septic Pumper Truck I • 6 2829 ` -'�`D Sto?ktA '1 <br /> Yard/Chemical Toilets • l t t <br /> Wastewater Treatment Plant {{{ Ej. CUPA <br /> QHousing Abater-AM • 1 2895 Elyyy��� c Lo�Rooaa St k" ASTIHMIHW <br /> • <br /> Motel/Hotel • <br /> CUPA <br /> Chicken Ranch/DogKennel 3007 EiLoomis Road Stockton �ST <br /> 8 / <br /> Medical Waste Facilit <br /> Tattoo/Body Piercing <br /> OWasteTire9 3018 E2!VLoomis Road Stockton CAM • M <br /> 0 Complaint• A T f� <br /> Other(Please Specify): 1'r^, ❑Accc-J� 11- <br /> 10 3164 E*Loomis Road Stockton <br /> *BOXED AREA-EHD USE ONLY*" — <br /> II _CQd PK 0503o3 <br /> ❑ Records provided by Staff-PPR Complete. start Name 3536 ' Das-os <br /> co 3o a5i5ly P co ooa r2-3q cAm a , n T ry tTce ' U5i&m3A Comv C0 vo2JTF 51de .n <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 4E34-0138 I www.sjcehd.com was <br />