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,N G,U"V IVUNICCr\ <br /> •3.4TE CEIVEO <br /> ti SAN JOAQUIN COUNTY <br /> IN RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> rl 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> SPA 7 l06phone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> QN <br /> EWRONMENTALHMTFhUBLIC RECORDS RELEASE APPLICATION <br /> PERMIUSEMOCES— <br /> APPLICANT:_ Kayla Alarid BUSINESS/AGENCY: Encon Solutions Inc. <br /> ADDRESS: 3255 Wilshire Blvd#1510 CITYISTATEIZIP:Los Angeles CA 90010 _ <br /> PHONE(1): 213.380-0555 PHONE (2): FACSIMILE:213-380-0505 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal--Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE EQUEST-$125 F E(CASH O ECK ONLY REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLIC - DATE 9-17-13 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 1 <br /> 1. 1145 South Aurora Street Stockton P <br /> f ❑Unit <br /> 2 �j <br /> 3. <br /> 4. �Unit 3 <br /> 5. ,� "� <br /> 6 lkunit 4 <br /> 7. <br /> 8. qw' <br /> n <br /> 9. D <br /> 10. []Unit 6 <br /> Specific Data Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY []SOLID WASTE FACILTIYIVEHICtE )YS <br /> ❑OTHER CLEANUP SITE(NON-LOP) L]HOUSING ABATEMENT [:)WASTE TIRE <br /> ❑UNDERGROUND TANK(MONR ❑ DAIRY WW ,� <br /> ORINGIREMOVAL) FOOD FACILITY ❑ L(1 � <br /> ABOVEGROUND TANK ❑ <br /> CHICKEN RANCHI DOG KENNEL [jWASTEWATER TREATMENT PLANT Cl-1 <br /> 1� <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑M07ELIHOTEL ❑PUMPERTRVCKNARDICHEMICAL TOILETS <br /> ❑TIERED PERMITTED FACILITY ❑POOUSPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑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 1209)404-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with flle addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. Anew application may be <br /> submitted when the file Is available. <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$125 deposit prior to review. —BOXED AREA-EHD VSE ONLY'"" <br /> /3 (-J <br /> Received Time'' Sep. 1.7. 'y2013-10:584N�No��4085staffName! 9!4112 <br /> EHD 4846 <br />