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RECEI' IEIVED EHDLOUNUMBER <br /> 'moi"'+ SAN .10AQUIN COUNTY <br /> VED EIDRONMENTAL HEALTH DEPARONT r �„ <br /> X I`Eb 14 2UV 1868 East Hazelton Avenue, Stockton, CA 95205-6232 {.� <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd J <br /> 4 <br /> I ENVIRONMENTAL HP-ALTH <br /> PEWITr;ElT1,ACE.4 PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Andrew Kim BUSINESSIAGENCY: ENCON Solutions Inc. <br /> ADDRESS: 3255 Wilshire Blvd #1508 CITY/STATEIZIP: 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-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2-13-17 <br /> Electronic Information: ❑ List© Map—Description: <br /> FILE ADDRESS EMD USE ONLY <br /> --..... ...._._....---....,......---- <br /> Street c Street Name city ❑ unit 1 <br /> 1, 930 ! East Charter Way Stockton I V <br /> io <br /> Unit 2 <br /> J o <br /> C / <br /> -1< <br /> 4. _..._f..__._..___.. ..,. uUnit3- <br /> 5• _; _ curs— sr <br /> 6. GD w `�� Wri&p 4 <br /> 7. - --..... 5m tt / �Z 1�1e <br /> L190 <br /> Ck/\Q/yv- {� IUnits; <br /> tett, <br /> Specific Date Range of Information Requested; From Any to AnWY <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILESUNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACI <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONI ORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKIYARD/CHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS OTHER(PLEASE SPECIFY) <br /> WELL AND 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 EMD 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 /> Fut a file rgviews by to same pplicant may require a $125 deposit prior to review. --PXED AREA-EHD USE ONLY... <br /> F1 Rnrnrrlc nrt+virfPrl by, Rfaff-PPR COmniPtA Staff Name: <br /> Received Time—Feb. 13. -2017— 5.01PFND. 0832 914112 <br />