Laserfiche WebLink
SANAOAQUIN <br />--COUNTY— <br />Z2 <br />AIV' Environmental Health Department <br />PUBLIC RECORDS RELEASE APPLICATION <br />SUBMIT BY EMAIL <br />APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br />ADDRESS: 3255 Wilshire Blvd #1510 <br />CITY/STATE/ZIP: Los Angeles, CA 90010 <br />PHONE (1): 213-380-0090 ,PHONE (2): FAX OR E-MAIL: frankt@odicen. coni <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 />SIGNATURE OF APPLICANT DATE 08-09-18 <br />1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s) of files from the <br />list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to (209) 464-0138, mail to the <br />address indicated below, or email to infoC&slcehd.com. Applications received after 3:00 pm will be processed the next <br />business day. <br />2. For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted below. <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 $152 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM•5:OOPM (EXCLUDING HOLIDAYS) �3 <br />Electronic Information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From 195o to 2I,,s <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />(Specific addresses <br />(p <br />FILE ADDRESS <br />only, address ranges will not <br />y 9 <br />be accepted) <br />p <br />—C 2 <br />EHD USE O N L <br />QX Underground Tank (UST) <br />Street # <br />Street Name <br />City <br />Cleanup Site (LOP) <br />QOtherCleanupSite(Non-LOP) <br />❑X Hazardous Waste <br />❑X Tiered Permitted Facility <br />' <br />1668 <br />EI Pinal Dr <br />Stocktont <br />' 1 \ ^' <br />ma� �V v ; ❑ CONSUMER <br />I coL513 <br />i <br />2 <br />� Dniw <br />Q Aboveground Tank <br />❑ PWS <br />❑X UST (Monitoring / Removal) <br />Q Hazardous Materials <br />3 <br />❑X Spill / Release Response <br />4 <br />❑ WATER QUALITY <br />QX Solid Waste Facility / Vehicle <br />Food Facility <br />❑ SITE MITIGATION <br />Pool / Spa <br />Dairy <br />5 <br />Q Land Use Application Sites <br />6 <br />❑ HOUSING <br />FX Septic Pumper Truck / <br />Yard / Chemical Toilets <br />RX Wastewater Treatment Plant <br />[$COPA <br />❑ Housing Abatement <br />7 <br />AST I HM I HW <br />❑ Motel/Hotel <br />❑ CUPA <br />❑ Chicken Ranch / Dog Kennel <br />Q Medical Waste Facility <br />8 <br />UST <br />F_ ­I Tattoo/Body Piercing <br />X❑ Waste Tire <br />g <br />❑ SOLID WASTE <br />❑X Complaint <br />❑ Other (Please Specify): <br />10 <br />ACCOUNTING <br />***BOXED AREA - EHD USE ONLY*** <br />z2-1/6 — C <br />7 <br />❑ Records provided by Staff -PPR Complete. staff Nike: <br />EHD 48-06 <br />1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />