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. SAN .IOAQUIN COUNTY • t:NU LUI IVVWJD0M <br />�■ATERECEIVED <br />■ <br />■ ENVIRONMENTAL HEALTH DEPARTMENT _7�q� <br />MEN 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />l it ri <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT' Andrew Kim BUSINESS/AGENCY: ENCON Solutions Inc. <br />ADDRESS: 3255 Wilshire Blvd #1508 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 REQUEST - 5 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT iJ� F--- DATE 12-19-14 <br />Electronic Information: ❑ List ❑ Map— Description: <br />Street # <br />Street Name <br />city <br />1. 11180 Vallejo Court French Camp <br />W <br />w�w <br />ti• I I I 1❑ Unit 4 <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />121 <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® MEDICAL WASTE FACILITY N SOLID WASTE F C�i iVEHIC/LL�E <br />MOTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT ®WASTETIRE (Js �1/7�t'� <br />N UNDERGROUND TANK(MONrrORINGIREMOVALp(- ❑FOOD FACILITY ❑DAIRY ICl) 1 -Ib -LS <br />® ABOVEGROUND TANK 0�, ❑ CHICKEN RANCHI DOG KENNEL ® WASTEWATERTREATMENT PLANT <br />E]® HAZARDOUS WASTBIHAZARDOUS MATERIALS (7Z. MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br />®(,AND USE APPLICATION SITES <br />�-t <br />® TIERED PERMITTED FACILITY CL ❑ POOLISPA <br />U TATTOOIBODY PIERCING ® COMPLAINTIRESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (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 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. ""BOXED AREA- EHD USE ONLY""` <br />r <br />ceived TimeriDec.19A2014'11:500o, 7756 <br />TD <br />TD 48.86 <br />