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le7/13/2015 11 : 10 : 10 AM -0`.10 Terracon Fax Server PAGE 1 OF 1 <br /> m <br /> ■ �I IVED ISE D I SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> I. ENVIRONMENTAL HEALTH DEPARTMENT <br /> JUL 13 2Gi5 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Tammy Woods BUSINESS/AGENCY: NOA/Te rracon <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 Tammy Woods (tkwoods@terracon.com) DATE 07/13/2015 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 0. <br /> 7700 Moreland Street Stockton <br /> r) 2. U�i. ' .� _' ��. ` r i (��l-►/�C IJ (�-� dunit 2 t, <br /> �. 3 5� cam' l i <br /> 4. <br /> _/ S:ff ,��Unit 3 <br /> 5' <br /> pow <br /> et n( SITE MITIGATION <br /> 6. W�IIt t(ij <br /> �p'Unit a <br /> 8. -1(rtT� dunitj� i� <br /> 9. <br /> 10. <br /> unit <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 1 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) n MEDICAL WASTE FACILITY n SOLID WASTE FACILITY[VEHICLE <br /> IXI OTHER CLEANUP SITE(NON-LOP) N]HOUSING ABATEMENT 11 ✓HASTE TIRE <br /> IXl UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY U DAIRY <br /> IXI ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ❑WASTEWATER TREATMENT PLANT <br /> XI HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL IFI PUMPERTRUCKIYARDICHEMICALTOILETS <br /> LX TIERED PERMITTED FACILITY n POOLISPA ®LAND USE APPLICATION SITES <br /> LJ TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS L l OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List up to 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$125 deposit prior to review. —BOXED AREA-EHD USE ONLY*** <br /> V1ac� G Iw`w,$ COLy 216,i1. (AVA Olt f3 wIA b—[ H2+, 4v 17 vo 64 t;"VkCD� <br /> Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time Jul. 13. 2015 9:09AM No. 9134 5/11!15 <br />