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� O1 1rr UMBER <br /> � 1�P 6�+D SAN .10AQUIN COUNTY �� � Cry <br /> JUL 31 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> IRONMENTALH& hone: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PERMITISEMACES PUBLIC RECORDS RELEASE APPLICATION . <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOA/Terracon <br /> ADDRESS: go? Ind,,-trial Wav 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 /> n CHECK BOX TO EXPEDITE REQUEST-S130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT Tammy Woods DATE 07-31-2015 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS <br /> -- EHD USE ONLY <br /> Street# Street Name City <br /> 1. 4221 1 E. Mariposa Road Stockton <br /> 2. 4801 Carpenter Road Stockton Unit 1 .J <br /> 3. 4863Car enter Road Stockton / ' <br /> p `tit 2 �E <br /> 4. "Q-Unit 21H <br /> 5. � 1A i <br /> .7';L> f&)"Y7' t L i.. 'I, - Unit 3 <br /> 7. /'•�',�?' 1cL (]'Unit4 <br /> 8. <br /> .SITE mrnGATIOc'; <br /> 9. <br /> 10. �t 5 .. <br /> ■ <br /> LI, L <br /> Specific Date Range of Information Requested: From _aIIyears to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> n UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ® MEDICAL WASTE FACILITY n SOLID WASTE FACILITYNEHICLE <br /> bi OTHER CLEANUP SITE(NON-LOP) IXI HOUSING ABATEMENT IXI WASTE TIRE <br /> IXI UNDERGROUND TANK(MONITORINGIREMOVAL) FOOD FACILITY DAIRY <br /> Xi ABOVEGROUND TANK A CHICKEN RANCH/DOG KENNEL _I WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTE/HAZARDOUS MATERIALS LJ MOTELIHOTEL IX PUMPER TRUCKIYARD/CHEMICAL TOILETS <br /> W'rIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES Septic and <br /> H TATTOO/BODY PIERCING I:OMPLAINT/RESPONSE RECORDS I:A OTHER(PLEASE SPECIFY) Well Permits <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOL for the f 4 <br /> dress of 4221 <br /> 1. List up to ten addresses in the space above. Select the type(s)of files from the list above by checking the appropri E.Mariposa <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated above. Ad Only <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. *''BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 48-06 711115 <br />