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DATE RECEIVED E I VE EHD LOG NUMBER <br /> JOAQUIN COUNTY <br /> APR 0 5 2016 ENVIRONMENTAL HEALTH DEPAUS Q-A <br /> ENVIRONMENTAL��lF��lL-�H 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • PERMfT/SERVfI`€SO�one: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ­� r�n 4/m/Its PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESS/AGENCY: NOA/TERRACON <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 TKWOODS(a)TERRACON.COM DATE April 5, 2016 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> i <br /> Street# Street Name City EHD USE ONLY <br /> 1. 104 E. Lodi Avenue Lodi <br /> 2. 1041/2 E. Lodi Avenue Lodi ❑ Unit 1 <br /> 3. 112 E. Lodi Avenue Lodi t�lll I <br /> 4. 116 E. Lodi Avenue Lodi Unit 2H <br /> 5. 122 E. Lodi Avenue Lodi <br /> 6. 301 S. Stockton Street Lodi nit3 <br /> 7• 309 S. Stockton Street Lodi nit4 <br /> 8. 315 S. Stockton Street Lodi SITE MITIGATION <br /> 9• 100 E. Lodi Avenue Lodi <br /> 10. 1 204 E. Lodi Avenue Lodi fg/u it 5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 71 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Z MEDICAL WASTE FACILITY SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE(NON-LOP) Q HOUSING ABATEMENT yJ WASTE TIRE <br /> Q UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑r�t DAIRY <br /> Q ABOVEGROUND TANK E]CHICKEN RANCH/DOG KENNEL XJ WASTEWATER TREATMENT PLANT <br /> Z HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> B TIERED PERMITTED FACILITY ❑POOUSPA 0 LAND USE APPLICATION SITPR <br /> ❑TATTOO/BODY PIERCING COMPLAINTIRESPONSE RECORDS Z OTHER(PLEASE SPECIFY) Well and Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING for#1 through #8 <br /> 1. List unto 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 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 /> to Records Provided by Staff-PPR Complete. staff Name: <br /> EHD 45-OG 711115 <br />