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9E ATE RECEIVED <br /> e <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ■ <br /> Ni EIV ENVIRONMENTAL HEALTH DEPARTMENT 11 5 <br /> RO1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AR 0 4 2016 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: WWW.sjgov.Grg/ehd <br /> �IRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> r�ae.aT,c nennr.. <br /> APPLICANT: Andrew Kim BUSINESS/AGENCY: ENCON Solutions Inc. <br /> ADDRESS: 3255 Wilshire Blvd #1508 CITY/STATE/ZIP: 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 applicatlon submittal-°Tentative only-must be confirmed) <br /> ❑CHECK COX TO EXPEDITE REQUESTS rr�EEf(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT uG._� ti DATE 3-3.16 <br /> Electronic Information: ❑ List ❑ Map— Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City [I Unit I <br /> 1. 1526 East Fremont Avenue Stockton <br /> 2. 1533 East Lindsay Street Stockton rut 2 <br /> 3. X3 <br /> 4. <br /> Ly—un 3 <br /> 5. <br /> 6. <br /> E] Unit 4 <br /> 7. <br /> Unit 5 <br /> 9. <br /> 51+e_rK <br /> 10. <br /> Specific Dee Range of information Rsqusstad: From ..�P-"" to A..�✓ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES —1-3 <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCK/YARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑ I ATTOOIBODY 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 flies 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 /> ❑ Records nrovided by Staff-PPR ComnlPtA. staff Name: <br /> /Received Time—Mar. 3. -2016— 4: 20PM—No, 0532 914112 <br />