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°sem TO: 12094640138 From: 19164800603 Date: 02/01/16 Time. 4:42 PM Page: 01/01 <br /> ®� p ciEHD LOG NUMBER <br /> ism ` NED SAN 0AQ1�IN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT � <br /> 022 ]6 186£�`it�zelfon Av�n.LI�,�Sto�kton, cA 952S1�S282___--- — � <br /> AllTelephone: (209) 468-3420 Fax: (209) 464-0138 Web: ww.sjgov.org/ehd <br /> `u' RONMEt�(IXHEALiH. w <br /> PEWITW-MCES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Kristin Stout BUSINESS/AGENCY: Enercon Services <br /> ADDRESS: 1451 River Park Drive,Suite 100 CITY/STATE/ZIP: Sacramento, CA 95816 <br /> PHONE(1): 916-480-0228 PHONE(2): FAX OR E-MAIL: kstout@enercon.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 /> EOGs fo,EP�[7 XrEtU "y�To, E( n6N DR'GEi K:c�N sY,'REciU ?:,P.,R©rt S5Eo7N, sUIt1 S UAVs <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name city ^, ,� <br /> 1. 2610 e Lycoming Court, Stockton, CA �VLNr ' , �� p Unit t <br /> 2 1928 o Boeing Way,Stockton, CA r)I CC) <br /> 3. 4336 i Pock Lane, Stockton, CA I - ARCd iUntt 2 <br /> 4. 4360 Pock Lane,Stockton, CA N� O unit zH <br /> 5. 4274 Pock Lane, Stockton, CA ,K�i I]�in t 3 <br /> ><_^ <br /> 2001 Arch Airport Road, Stockton, CA ( p unit BHM <br /> Mn fJ Cm Unit <br /> C- & <br /> 09 c Arch Airport Road, Stockton, CA85 c Arch Airport Road, Stockton, CAtw UIYIArAp�r1E MITIGATION <br /> ®'UnR6 <br /> Specific Date Range ofinfunnation Requested From <br /> roUZI <br /> EN>f,IAOTIMENTkl HEALTH:DEP7RIMENTfES <br /> r��j SOLID WASTE FACILITVVEPRCLE <br /> ®UNDERGROUND TANK(UST)CLEANUP Sri(LOP) LTJ MOTEL/HOTEL © <br /> j20THER CLEANUP Sira(NON 11-LOP) HOUSING ABAIBMENr El FOOD FACILITY <br /> ©WASTE TIRE ❑DARy,POOL/SP.A <br /> ®UNDERGROUND TANK(MONRDRQJ(i/REM1'fOVAL WA.STFW.ATER ThEATMEN T PLANT <br /> ©ABOVEGROUND TANK [,]CHICKEN RANCH/DOG KENNEL <br /> ®HAZARDOUS WASTE ❑MEDICAL WASTE FACILITY ❑PUWPER TRUCK(YARDICHEMLCAL TOILETS <br /> ❑HAZARDOUS MATERIALS D TAT OOBODY PIERCING ®LAND USE APPLICATION SrrES <br /> ©TIERED PERmTrED FACILITY ❑COMI'IAiNr/RFSPONSE RECORDS ❑OTaER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERNRr RECORDS ARE AVAILABLE FOR REVIEW: WNDAY-FRIDAYS:00 AM-5:00PM(EELUDiNG 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)464-0136 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 /> ***BOXED AREA- EHD USE ONLY"' <br /> 1 LWVS <br /> ovI 12 <br /> `Z3 85 <br /> tiY a Staff Name: <br /> Received Time_Feb. 1. .201 '. 4; 42 N--No. 0432 <br />