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• • EHD LOG NUMBER <br /> ;■RECEIVED�VED SAN .IOAQUIN COUNTY la7 <br /> EmsENVIRONMENTAL HEALTH DEPARTMENT 1 <br /> man NCIV f. U Z01t 1868 East Hazelton Avenue, Stockton, CA 95205-6232 /—1 <br /> • _T�e�l�ephgne:,(209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> 6W1IRGNKMENTALHEDII]$i ([uG► 209) <br /> PEWArfISER GhS <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3255 Wilshire Blvd#1510 CITY/STATE/ZIP: Los Angeles <br /> PHONE (1): 213-380-0090 PHONE (2): FACSIMILE-213-380-0505 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Ten five only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDFTE REQ U $125 ASH (?!CHECK ON Y)- QUEST PROCESSED IN 3 BUSINESS DAYS 1 / � <br /> SIGNATURE OF APPLICANT =„�� DATE 11-20-17 <br /> 5 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD use ONLY <br /> Street fl Street Name City <br /> t 1. 1002 Frontage Rd Ripon Al <br /> 2. 1022 Frontage Rd Ripon <br /> 3. 5` to hlykl+c.� <br /> 4. <br /> s. <br /> 7. CLAPA �5T <br /> s. d <br /> g. SA'tk W44e- <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) R MEDICAL WASTE FACILITY R SOLD WASTE FACILITYIVEHICLE <br /> ROTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT RWASTE TIRE <br /> ®UNDERGROUND TANK(MONITORNGIREMOVAL) ❑FOOD FACILITY ❑DAIRY. <br /> R ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL R WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL R PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> R TIERED PERMRTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING R 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. 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 now 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$125 deposit prior to review. • BOXED AREA-EHD USE:ONLY•" <br /> LS' <br /> tRyr i+,t'irF <br /> 7.er '" N a {+Yx'�..� <br /> revJVt <br /> vqj. . '+Y2x•,Il"k..,r+= <br /> a <br /> 'II s <br /> 9FJ� 9" <br /> t 1 i�y�Y' _ 'ha.q Y� J. O} ir�Lti= h "�. ° '-i Y} £{YvVr:..;L..xx. '•i�^6.�:..x <br /> .'��?D -:2s ,l'-i:: • ' . °m,04"i_ Y� _ <br /> '+G'1':d.C'� :. rCl_ .. ,'.r.,,.. � ..,�, <br /> Received Time°Nov. 20, 2017�12:32PfrNo. 2602$ fpm• u - <br /> ... �..u•uu aIM12 <br />