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IF 1EEE REHD LOG NUMBER <br /> SAN JOAQUIN COUNTY • � <br /> DEC 1 0 2012 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.-Sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS. 3255 Wilshire Blvd #1510 CITYISTATEIZIP: Los Angeles, CA 90010 <br /> PHONE(1): 213-380-0090 PHONE(2): FACSIMILE: 213-380-0505 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from dale of application submittal-`Tentative only•must be confirmed) <br /> ❑CHECK BOXTO EXPEDITE REQUEST•$12 E SHR HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � DATE o l*1/2—._ <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> ck Street# Street Name City92 Unit 1 <br /> U 1 1206 E. March Ln Stockton tly i C <br /> Unit <br /> 3. �1 <br /> 4. i0 Unit 3 <br /> l <br /> 5. <br /> 6. ./❑Unita I� <br /> A_( 94 ...., <br /> B� <br /> 7. To view the,1AMza <br /> P(Hardous <br /> $ Materials Management Plan)go to the ❑Units <br /> g following website.wwwstoesdata:org <br /> 10. ❑Un116 <br /> SpocifIc Date Range of Information Requastad: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES j <br /> 11'A7ARI]0US <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑BDUSING ABATEMENT SOLID WASTE FACILrrYIVEHICLETHERCLEANUP SITE(NON-LOP) ❑FOOD FACILITY WASTETIRE 16)P$ k/DERGROUND TANK(MONITORINGIREMOVAL)(x ❑DOG KENNEL AIRY I� I'Z-lq-('Z <br /> WASTE GENERATaOR� ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> 'gj]ERED PERMITTED FACILITY 1/— F1MOTELIHOTEL PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> TATTOOIBODY PIERCING F-1POOLISPA ❑LAND USE APPLICATION SITES <br /> YMEDICALWAsTE FACILITY E]OTHER(PLEASE SPECIFY) - <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AMur:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List ua 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 mall to the address indicated above._ Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Appltcatlons 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 exisL 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 some 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$122 deposit prior to review. <br /> EF10 U9E ONLY <br /> -12. U f- n O ' P <br /> 0712910 <br /> SND 40.06 <br /> Received Time Dec. 10. 2012 2:37PM No. 1811 <br />