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l�Z To: 12094640138 From: 19164800603 Date: 02/01/16 Timer 4:42 M Page: 01/01 <br /> IY <br /> IEIdM EHD LOG NUMBER <br /> Iia° RE <br /> EIVE® SAN JOAQUIN COUNTY <br /> °Q ENVIRONMENTAL HEALTH DEPARTMENT 07CI <br /> FEB_QUQ161868 Fa�t_Hax2lton Av ntP_iA,�tS2tJ51t1DSA9,520�89 t9 Epi <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehcl <br /> ENVIRONMENTAL HEALTH <br /> rrrF CEG 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: ksteut@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 reques ted records. <br /> ©nC(t,'760Xs`I'0.;;,Exl?�b1T£REOUEST $130����(v;,��W'UR�FIEGK�¢NL`7�'.,.:1,l;0UES'f`PROD'E=-SSET7lh1{i8'f5S{NF�^q';Y`bi�.�'S <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑List❑ Map-Description: <br /> FILE ADDRESS <br /> EHD USE ONLY <br /> Street# Street Name City <br /> 1• 2610 Lycoming Court, Stockton, CA /U,p 0/5/- <br /> ❑Unit t <br /> 2• 1928 Boeing Way, Stockton, CA AJ Ir. WGUA Ab JVO(ANP <br /> j3. 4336 Pock Lane,Stockton, CAUnit 2 <br /> 4. 4360 Pock Lane, Stockton, CAA ) P [I Unit 2H <br /> S• 4274 Pock Lane, Stockton, CA &0 C&6/9 9-snit 3 <br /> 5• 2001 Arch Airport Road, Stockton, CAunit 3HM <br /> 7• 2109 Arch Airport Road, Stockton,CA tip f, C-/unit 4 <br /> 8 2385 Arch Airport Road, Stockton, CA �� (Q SITE MITIGATION <br /> M161a s <br /> 10. <br /> Specirte Dam Range of Teformation Requested: From to <br /> ETIYIROT7METdfALFiEAL3H;DEPARTMENTFILES <br /> ®LWDERGRouNDT.wK(UST)CLEANUP SnE(WP) ©NbTEUHOT'EL ®SOLID WASTE FAC¢m/Wt9CLF <br /> �O'mER CLEANUP Sim(NON-LOP) ❑HOUSWG ABATEMEM' ❑FOOD FACILITY • � ��J,/�"/"� ,� <br /> ®UNDERGROUND TANK(MON17ORCIG/REMOVAL)0( ©WASTETIRE I❑I]-I DAIRY,POOL/SPA -'• IK/1�J <br /> ®ABOVEGROUND TANK OC CHICKEN RANCH/DOG KENNEL [3 WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTE a H MEDICAL WASTE FACnIrY ❑PUt&ER TRUCK/YARD/CIEMICAL TO=S <br /> ❑HAZARDOUS MATERIALS ©TATTOO(BODY PIERCING ®LAND USE APPLiCAnON SITES <br /> ©TIERED PERMmED FACIIIr1QG. ❑COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPEcwy) <br /> WELL ANDSEPTTC PERT4r RECORDS ARE AV.A1rABLEFOR REV@W: NbND.AY-FRTDAY8:00 AM-5:00PM(EMLUDWG HOLIDAYS) <br /> 1. Listup 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. <br /> ***BOXED AREA-EHD USE ONLY*** - <br /> 38 r <br /> n o,.......�.. ...0 :.r..*+ i.V a*-, o t..--r * Staff Name: <br /> Received Time=Feb. 1. 9201 = 4:42 Iv'-K 0432 <br />