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• DATE RECEIVED d SAN JOAQUIN COUNTY EMD LOG NUMBER <br /> ECGIVE® Ib ENVIRONMENTAL HEALTH DEPARTMENTOf <br /> %m JUN 15 2017 ^L +tr 5pe,1868 East Hazelton Avenue, Stockton, CA 95205-6232 ��/�" <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> -NVIERMITSERVICEESrH <br /> PPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Andrew Kim BUSINESS/AGENCY: ENCON Solutions Inc. <br /> ADDRESS: 3255 Wilshire Blvd#1508 CITYISTATE2IP: 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 REQUEST- 25/FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS �e <br /> SIGNATURE OF APPLICANT ir/ � DATE 6-15-17 <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# StmAt Name qty <br /> 14931 North Flag City Boulevard Lodi ,�.k M6f2� C I /� -Nh/ <br /> S <br /> 2- <br /> 3. r , <br /> CLAPA-iAST <br /> 4. dt <br /> t <br /> S. ^ 5, ft f A-jtt <br /> r6- <br /> AAJV kyl' fur <br /> L Wa7� <br /> 9. I Vater �u j'ty <br /> 10. 2L / <br /> KI <br /> Specific Date Range of Information Requested: From Any to Any <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT IIIZ� SOCIO WASTE FACILITYNEHICLE <br /> ® WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY El ABOVEGROUND TANK El DAIRY <br /> ❑CHICKEN RANCH]DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WAsTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL <br /> ®TIERED PERMITTED FACILITY ®LUMPUR TRUCKICATION SITES TOILETS <br /> ❑POOLISPA ®LANG USE APPLICATION SITES <br /> ❑TATTo01BODY 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 u0 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-for additional assistance with file 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. A new 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_ t'...BOXED <br /> LAREA- <br /> EHD USE ONLY-- <br /> i\ ll.'�1 `� •;. d , y $,� �Waw .d ..;: r G+.n '�"+k`f �' l., �'r✓D Nd-,- <br /> Rat^r�rrl c:;;nrgGlrlaA�hy C4�Ff_PPR r� rnnlefn �,tpff Name, `' - ": <br /> Received Time—Jun. 15. -2011= 4 39P .Ne. 1694 ' �''`' <br />`yr 91411 <br />