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DATE RECEIVEDCE IVE D EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> FEB 16 ZOtT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 (uf <br /> MWIRONMENT-ALF MTplephone: (209)468-3420 Fax: (209)464-0136 Web:www.sjgov.org/ehd <br /> • PEMMIT/SERV16DES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: TAMMY WOODS BUSINESSIAGENCY: TERRACON <br /> ADDRESS: 902 INDUSTRIAL WAY CITY/STATEIZIP: LODI,CA 95240 <br /> PHONE(1): 209-367.3701 PHONE(2): FAX OR E-MAIL: tkwoodspterracon.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 /> ❑ CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OFAPPLICANT �//�[.2��1 /fil� „ DATE2-13-17 <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below 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. <br /> Electronic Information: ❑ List❑ Map—Description: <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> ®UNDERGROUND TANK(UST) Street# Street Name City <br /> CLEANUP SITE(LOP) �Jl:-� El CONSUMER <br /> t 1700 N. Broadway Stockton <br /> ®OTHER CLEANUP SITE(NON-LOP) Z�J <br /> • ❑HAZARDOUS WASTE ❑DAIRY <br /> ❑TIERED PERMITTED FACILITY 2 1448 Shaw Road Stockton <br /> ®ABOVEGROUND TANK <br /> ®UST (MONITORING I REMOVAL) U (%o O PWS <br /> ❑HAZARDOUS MATERIALS 3 1282 Shaw Road Stockton <br /> ®SPILURELEASE RESPONSE WATER FUN <br /> ❑SOLID WASTE FACILITY/VEHICLE C <br /> ❑FOOD FACILITY 1 CP <br /> ❑POOL I SPA ,{—� <br /> 6 /SITE MITIGA DN <br /> ❑DAIRY <br /> ❑LAND USE APPLICATION SITES 2-t7 ❑HOUSING <br /> ❑SEPTIC PUMPER TRUCK I a <br /> YARD I CHEMICAL TOILETS <br /> ❑WASTEWATER TREATMENT PLANT CUPA <br /> ❑HOUSING ABATEMENT r <br /> ❑MOTEIIHOTEL <br /> ❑CHICKEN RANCH/DOG KENNEL COPA- <br /> F1 MEDICAL WASTE FACILITY e <br /> ❑TATTOOIBODY PIERCING ❑SOLID WASTE <br /> ❑WASTE TIRE s <br /> ®COMPLAINT— C7 ACCOUMING <br /> r-1OTHER(PLEASE SPECIFY): <br /> to <br /> Specific Date Range of Information Requested: From to <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> . ***BOXED AREA-EHD USE ONLY*** <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br />