Laserfiche WebLink
t <br /> SAN JOAQWCEIVED Environmental Health Department <br /> —COUNTY—FEB 12 2018 PUBLIC RECORDS RELEASE APPLICATION 2�J\ <br /> .J.S` fir, CJI@lit t ., n •i ( <br /> ENVIRONMENTAL HEALTH EHD LOG NUMBER: Ii VvS/ <br /> ES <br /> APPLICANT: Tamara Woods PERM91SENe <br /> BUSINESS/AGENCY: Terra Con <br /> ADDRESS: _902 Industrial Way CITY/STATE/ZIP: Lodi CA 95240 <br /> PHONE(1): _209-269-8586 PHONE(2): FAX OR E-MAIL:tkwoods@terracon.com <br /> urease allow 1u business Gays from date of application submittal for the records to be available. <br /> Staff will contact you to arranoe an annointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT i_'. , DATE 2-12-18 <br /> 1. List up to ten addresses in the space Deiow. A ciaress ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138,mail to the <br /> address indicated below,or email to infoOsicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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$152 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) l <br /> Electronic Information: ❑ List❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT ( ponly, g p <br /> FILES S ecific addresses address ranges will not be accepted) EHD USE ONLY <br /> Aa'Undeiground Tank(UST) Street# iStreet Name City C <br /> Cleanup Site(LOP) , 1 1,� CoasuNSR <br /> Other Cleanup Site(Non-LOP) 330 I Kettleman Lane Lodi <br /> • ZHazardous Waste '-o <br /> r 0 DART <br /> ❑Tiered Permitted Facility 2 100 W. Lodi Avenue I Lodi <br /> ❑Aboveground Tank 111.1 Fuv 1-1 <br /> l9 <br /> ZIUST (Monitoring!Removal) ❑PWS <br /> Hazardous Materials a 420 I S. Pleasant Avenue Lodi <br /> Spill/Release Response A'1 <br /> Solid Waste Facility/Vehicle 4 1 W WATER ou&" <br /> 820 S. Cluff Avenue Lodi Ate► <br /> Food Facility y{M IOW ulSj <br /> ❑Pool/Spa (SnE MITIGAMN <br /> Dalry 5 25251 S. Hutchins Street Lodi <br /> ❑Land Use Application Sites <br /> HOUSING <br /> ❑Septic Pumper Truck/ a 902 I Industrial Way 1 Lodi <br /> Yard/Chemical Toilets h IVM Ldr <br /> ❑Wastewater Treatment Plant Go. CUPA <br /> Housing Abatement 7 420 1 Kettleman Lane I Lodi fi( AST/HM/HW <br /> F1 Motel/Hotel W�, 1-kw rim <br /> ❑Chicken Ranch/Dog Kennel UPA <br /> Medical Waste Facility <br /> 5 501 I Kettleman Lane Lodi Lor UST <br /> Tattooleody Fleming 1uf1 bIW(.0 <br /> ❑Souo WASTE <br /> Waste Tire 9 514 Kettleman Lane I Lodi <br /> g'Complaint <br /> F1 Other(Please Specify): Accouunxc <br /> ,a 1025 (Industrial Way Lodi <br /> ink ' <br /> ."`BOXED AREA•EHD USE ONLY"` <br /> • I J Z <br /> ❑ Records provided by Staff-PPR Complete. Stan Name: EH049-06 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />