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� ATE RECEIVED cnu wo rvumo�n <br />SAN JOAQUIN COUNTY <br />p ENVIRONMENTAL HEALTH DEPARTMENT <br />COVED 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Tele-pljone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd D�� <br />SEP 1 4 2097` `Xr+j► <br />�ppOEEARRA��Ip��pCi1TAI ��AA , PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANTTISERNnsdrew Kim BUSINESSIAGENCY: 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 11255 EE (CASH OR CHECK ONLY) -REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT z5l� DATE_ 9-13-17 <br />Electronic Information: ❑ List ❑ Map— Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />0 Unit 1 <br />Stree[ # <br />Street Name <br />city <br />j#q 1916 <br />East March Lane <br />Stockton <br />Unit 2 <br />3. <br />h 00A, <br />Utls3 <br />4. <br />S. <br />❑ Unit <br />5, <br />7. <br />❑ Unit 5 <br />8, <br />9. <br />❑ Unit 6 <br />10. <br />Specific Data Range of Information Requested: From Any to Any <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ® MEDICAL WASTE FACILITY ® SOLID WASTE FACILITYNEHICLE <br />® OTHER CLEANUP SITE (NON -LOP) ❑ HOUSING ABATEMENT WASTE TIRE <br />® UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACILITY ❑ DAIRY <br />Z ABOVEGROUND TANK ❑ CHICKEN RANCH/ DOG KENNEL ® WASTEWATER TREATMENT PLANT <br />® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTEL/HOTEL ® PUMPER TRUCKIYARDICHEMICAL TOILETS <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-5:00PM (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. Applicatlons 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 avallable 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 />eyeyIVed IIme�Sep. <br />