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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544962
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/6/2019 9:39:27 AM
Creation date
11/6/2019 9:15:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544962
PE
3528
FACILITY_ID
FA0003651
FACILITY_NAME
ARTS & ARTISTS
STREET_NUMBER
204
Direction
E
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04719102
CURRENT_STATUS
02
SITE_LOCATION
204 E LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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DAT RECEIVED <br /> EHD LOG NUMBER <br /> SAN TOAQUIN COON <br /> APR d5 2016 ENVIRONMENTAL HEALTH D A T N ?Sqqb <br /> ENVIRONMENTAL �[F�t 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • PERNifTlSERVI none: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> {� sc�d( of Ml�l/icy 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 reviewthe 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 /> Street# Street Name City i EHD USE ONLY <br /> 1. 104 E. Lodi Avenue Lodi K <br /> 2. 1041/2 E. LodiAvenue Lodi N 'u�e�CQ ❑ Unit, <br /> 3. 112 E. Lodi Avenue Lodi ()9v-N D4�a <br /> uz v <br /> 4. 116 E. Lodi Avenue Lodi vl a0" (o Unit 2H b I <br /> 5. 122 E. Lodi Avenue Lodi <br /> ll 0 <br /> s. <br /> 301 S. Stockton Street Lodi tmt 3 <br /> �• 309 S. Stockton Street Lodi nits <br /> B• 315 S. Stockton Street Lodi SITE MITIGATION <br /> 9. 100 E. Lodi Avenue Lodi <br /> 10. 204 E. Lodi Avenue Lodi top} _o 2'unit5 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> VI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) Z MEDICAL WASTE FACILITY Z SOLID WASTE FACILITYIVEHICLE <br /> 7 OTHER CLEANUP SITE(NON-LOP) Q HOUSING ABATEMENT OWASTE TIRE <br /> Q UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> Q ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL WASTEWATER TREATMENT PLANT <br /> Z HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY ❑POOUSPA LAND USE APPLICATION SITPR <br /> ❑TATTOOIBODY PIERCING COMPLAINT/RESPONSE RECORDS OTHER(PLEASE SPECIFY)Well and Septic <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(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 /> tA�lu` I o X112 wul dpi �sY a Vii, L�. <br /> E3 Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 4M6 <br /> 711/16 _ <br /> If <br />
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