Laserfiche WebLink
RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> SEP k fl �pj5 ENVIRONMENTAL HEALTH DEPARTMENT a Igo <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 D Q <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES 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@TERRACON.COM DATE 09-11-15 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS <br /> Street# Street Name City EHD USE ONLY <br /> 1. 4932 Pacific Avenue STOCKTON vi r— <br /> 2. 5151 I Pacific Avenue I STOCKTON * ❑Unit 1 <br /> 3. 5110 Pacific Avenue I STOCKTON . LOP F art -Cl) &'Unit z J <br /> 4. b114e1 CQ . <br /> El Unit 2H <br /> 5. <br /> 6. � <br /> N''Unit 3 <br /> T IS Unit 4 <br /> 8. <br /> SITE MITIGATION <br /> 9. <br /> 10. <br /> Q Unit 5 <br /> Specific Date Range of Information Requested: From _ALL to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> RI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) [:]MEDICAL WASTE FACILITY IX SOLID WASTE FACILITYNEHICLE <br /> 44.%nOTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT U(WASTE TIRE <br /> 134 UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> RI ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL 5a WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ❑n PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> �l TIERED PERMITTED FACILITY ElW <br /> POOUSPA LAND USE APPLICATION SITES <br /> U TATTOO/BODY PIERCING 13d COMPLAINTIRESPONSE RECORDS <br /> ❑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 $130 deposit prior to review. ***BOXED AREA-EHD USE ONLY*** <br /> LOP P'( e X 2 art V'C,, Cf? 3110 PNt'tf;L kvQ, <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> EHD 4a-oa <br /> nvt s <br />