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IMo ATE RECEIVEDp� EHD LOG NUIViBER <br /> INN SAN JOAQUIN COUNTY <br /> "mEN'�trONfENTAL HE�t�.TF4 l�EPRTf�tt�T <br /> O � 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> MAR 0 4 20J6 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> •61RONMEN IAL HEALTHPUSLI C RECORDS RELEASE APPLICATION FELE COPY <br /> APPLICANT: Andrew Kim BtISINESSIACENCY: 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 application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEbITE REQUESTS 5 FEE(CASH OR CHECK ONLY)-REQUEST PROCtSSEO IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT i� fe <br /> .0 DATE 3-3-16 <br /> 1. 0ectronicinformation:. ' - <br /> ❑ List ❑ Map—Description: _ <br /> FILE ADDRESS - EHD USE ONLY i <br /> Street 0 Street Name City ❑ Unit 1 / <br /> 1. 1528 East Fremont Avenue Stockton <br /> 2. 1533 East Lindsay Street u71.0 N0' Stockton <br /> .Unit 2 <br /> Q I XUnit 3. <br /> . <br /> 5. <br /> 6 ❑ Unit <br /> 7. <br /> Unit 5 <br /> 9 ( �i4e <br /> 10. osnt-,-6 ' <br /> SPacific Dato Rang^-of In',orm2tion Ra4uasted: Fromp•==rrte to t <br /> ENVIRONMENTAL HEALTH 13EPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY Z SOLID WASTE FACILITYNEHICLE <br /> Z OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL ®WASTEWATERTREATMENT PLANT <br /> ®HAZARDOUS WASTE/HAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑T ATTOOIBODY PIERCING 2 COMPLAINTIRESPONSE RECORDS ❑OTH MR,(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE:FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (EXCLUDING HOLIDAYS) <br /> 1. List un 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(2001464-0139 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 EEHI)will notifythe 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 /> submltted.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 /> 10 Records provided by Staff-PPR ComnlPtP- staff Name: 1 <br /> ]Re Ceived I ime—Ma r, 3. -2016- 4; 20W—No, 0532 9/4112 <br />