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i To: 12094640138 From: 9164800603 Date: 02/01/16 42 Page: 01/01 <br /> I O <br /> EHD LOG NUMBER <br /> 61D <br /> RECEIVI SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> __ FEB 0-2-2016 1868 East-Hazelto-a-k\_onue,Stockton,CA95205-623 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.or IE CGP <br /> Q <br /> 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: kstout@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 requested records. <br /> ❑ CHECK BdXTO <br /> EXPEDITE REQUEST $i 3D:FEE(GASH OR'.GHECK;gNL`f) ,REQUI ST PROGES5ED;1;N 3 BUSINESS DAYS <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 <br /> [I Unit 1 <br /> 2 <br /> 1928 Boeing Way, Stockton, CA <br /> 3. 4336 Pock Lane, Stockton, CA ~ unit 2 -r9 l <br /> 4. 4360 Pock Lane, Stockton, CA _ ❑ Unit 2H <br /> 5. 4274 Pock Lane, Stockton, CA p unit 3 <br /> 2001 Arch Airport Road, Stockton, CA i,; ?,fwl <br /> T 2109 Arch Airport Road, Stockton, CA [Unit 4 <br /> B• 2385 Arch Airport Road, Stockton, CA i E Mi i IGA o iON <br /> 9. <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> EIVVIRQhTilfl_NTALHEALTH L3EPRTMEFT FILES <br /> ®UNDERGROUND TANK(LIST)CLEANUP SITE(LOP) ©MOSOLID WASTE FACILirY/VEHICi-E <br /> ER OTHER CLEANUP SII-(NUN-LOP) ❑HOUSING ABATEMENT ❑FOOD Fi\CIIIrY <br /> ®UNDERGROUND TANK(MOINTTORLNG/RFNiovAL) ©WASTE TIRE ❑DAIRY,POOIJSPA <br /> ©ABOVEGROUND TANKH <br /> CHICKEN RANCH/DOG KENNEL Q WASTEME <br /> WATER TREATMENT PLANT <br /> ®HAZARDOUS WASTE MEDICAL WASTE FAC=Y ❑PUNPER TTcUCK/YARD/CHEMICAL TOILETS <br /> F-1HAZARDOUSMATERIALS Q TATTOO/BODY PIERCING ®LAND USE APPLICAnON SITES <br /> ©TIERED PERN=D FACILITY ❑COMPLAIINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PER\fir RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EKCLLT WG 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.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 /> ReceivedAT—in e°Feb. 1-y201f 4 42 -0—'M2 <br /> Staff <br />