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RECEIVED <br /> H(JUfM1 <br /> -` SAN _J OA Q U I N MAY 31 2013 Environmental Health Department <br /> C !2, <br /> —COUNTY-- PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRdn;M I HrAITH <br /> • ycrcoR: Greetncss yrcws here. PERMIT/ bl((1�EMAIL ��� <br /> EHD LOG NUMBER: <br /> APPLICANT: TAMARA WOODS BUSINESS/AGENCY:TERRACON CONSULTANTS INC. <br /> ADDRESS: 9021NDUSTRIAL WAY CITY/STATE/ZIP:LODI,CA 95240 <br /> PHONE(1): 209-269-8586 PHONE(2): FAX OR E-MAIL: TAMARA.WOODS@TERRACON.COM <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 /> SIGNATURE OF APPLICANT DATE 5-31-18 <br /> 1. List up to ten addresses in the space below. Address 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 infoRDsicehd.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) <br /> Electronic Information: ❑ List❑ Map-Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific y 9 p ) EHD USE ONLY <br /> FILES addresses only,address ran es will not be ecce ted <br /> N Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) � ❑Corvsuusa <br /> Other Cleanup Site(Non-LOP) <br /> 3233 E. Loomis Road Stockton <br /> ❑X• ,Q RX Waste 71'W 1 ❑DAIRY <br /> Q Tiered Permitted Facility 2 2660 E. Loomis Road Stockton <br /> ❑X Aboveground Tank wrTw 1' <br /> ❑X UST (Monitoring/Removal) L8 1 NM NS D PWS <br /> O Hazardous Materials a 2850 E. Loomis Road Stockton �N w�T -!Omw <br /> Q Spill/Release Response <br /> ❑ 2701 FIA.,`L)i 'rte ATER Duaun <br /> 4 <br /> X Solid Waste Facility/Vehicle HWY 99 W FRONTAGE RD Stockton b"p1 0 fld �( <br /> ❑Food Facility <br /> ❑Pool/Spa i..Mt HW ire MincAnory <br /> F]Dairy <br /> s 2807 HWY 99 W FRONTAGE RD Stockton <br /> Q Land Use Application Sites <br /> ❑X Septic Pumper Truck/ N5i,1{M ousirvc <br /> c 2$29 HWY 99 W FRONTAGE RD Stockton <br /> Yard/Chemical Toilets-F.F. <br /> ❑Wastewater Treatment Plant 01101lb CUPA <br /> X❑Housing Abatement , 2895 E. Loomis Road Stockton Uf -11 IW <br /> /HM1HW <br /> ❑Motel/Hotel 1 <br /> ❑Chicken Ranch/Dog Kennel I�M�hyT COPA <br /> ❑Medical Waste Facility a 3007 E. Loomis Road Stockton DST <br /> ❑Tattoo/Body Piercing La V, liT Sou.WASTE <br /> Q Waste Tire a 3018 E. Loomis Road Stockton <br /> Q Complaint �.E.�. LD <br /> EJ Other <br /> (Please Specify): µt^.. ❑Accomrtwo <br /> to 3164 E. Loomis Road Stockton <br /> ...BOXED AREA-EHD USE ONLY*** <br /> y- _ /Ctx"Pt- <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: EHD 4e-06 <br /> 1868 E. Hazelton Avenue 1 Stockton, California 95205 1 T 209 468-3420 1 F 209464-0138 1 www.sjcehd.com <br />