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DATE RECEIVED ('t SAN JOAQUIN COUNTY 01 EHD LOG NUMBER <br /> tA <br /> tl`C t y '� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> lI Tele , one: (209) 468-3420 Fax: (209) 464-0138 Web. www.sjgov.org/ehd n <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: James Helge BUSINESS/AGENCY: ENERCON Eervlces <br /> ADDRESS: 13434 Marconi Ave Sacramento, CA 95821 CITY/STATE/ZIP: <br /> PHONE (1): 916-480-9228 PHONE(2): FACSIMILE: <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 S�t�I)�/�(�((' V `71 /� ) , / �•� DATE <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> 9Street# Street Name City ElUnit 1 <br /> 7. 1055 South Stockton Blvd Stockton pwow Lo P <br /> 2. 1137 S. Stockton Blvd Stockton �7 5 [7tinitz <br /> 4. <br /> i Unit 3 , <br /> 5. �t <br /> 6. <br /> Unit4 <br /> 7. <br /> 8. <br /> ❑Unit 5 <br /> 9. <br /> 10. <br /> ❑ Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY ❑SOLID WASTE FACILIYNEHI <br /> OTHER CLEANUP SITE(NON-LOP) [—IHOUSINGABATEMENT ❑WASTETIRE Il'PS WVI/! 13� <br /> ❑UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY O-Z I-13 <br /> ABOVEGROUND TANK 00 ❑CHICKEN RANCH]DOG KENNEL ❑WASTEWATER TR ANT PLANT <br /> HAZARDOUS WASTE/HAZARDOUS MATERIALSOL ❑MOTELIHOTEL El PUMPER TRUCK]YARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILITY ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY 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 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(209)464-0138 or mail to the address indicated above. Address <br /> ranges will notbe 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. i"BOXED AREA-EiH_D SSE ONLY <br /> 3'• UOD5V150 113:2 '5)0dNn .4y <br /> ❑ Records provided by Staff-PPR Complete. staff Name: <br /> EHD 4946 914112 <br />