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K <br /> EHD LOG NVMBER <br /> ' `�IVEI� SAN JOAQUIN COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT //�) 5to0�1 <br /> man <br /> ■ � 1868 East Hazelton Avenue, Stockton, CA 95205-6232 y� U <br /> ■� FEEs f , 2U11 V <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www-sjgov.org/ehd <br /> MMKO.NMENTAL HEALTH <br /> is PEwArrr' CES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Andrew Kim BUSINESSIAGENCY: 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-`Tenfafive only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 2-13-17 <br /> Electronic Information: ❑ List❑ Map- Description: <br /> _ FILE ADDRESSEHD USE ONLY <br /> Street S Street Name _ city ❑Unit 1 <br /> East Charter Way Stockton <br /> 2. SUnit 2 <br /> 3. <br /> 4. Unit 3 <br /> 5. <br /> cUPA- usr <br /> 6. tfrritr4 <br /> 7. <br /> S. iunit 5 <br /> 9. <br /> 10. - r� <br /> Specific Date Range of Information Requested: From Any to Any TnIhUfUld✓ <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) E MEDICAL WASTE FACILITY E SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT E WASTETIRE <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> ®ASOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> E HAZARDOUS WASTEIHAZARDOV$MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKNARDICHEMICAL TOILETS <br /> E TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOGIDODY PIERCING E COMPLAINT/RESPONSE 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. 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. ...BOXED AREA•EHD USE ONLY .. <br /> Tl Rarnrrlc nrpvir1ar1 h Staff-PPR (�ornnlPFP Staff Name: <br /> Received Time—Feb. 13. y2017- 5:01PFNo, 0832 914112 <br />