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.-.-- -- -- ---_..._ <br />DATE RECEIVED e,, J SAN JOAQUIN COUNTY EHD LOG NUMBER <br />MAY G 4 2011 5--L_ ENVIRONMENTAL HEALTH DEPARTMENT flr <br />%MMONMENTAL <br />868 East Hazelton Avenue, Stockton, CA 95205-6232 V C,E8 r�97 <br />Telephone: (209) 468-3420 Fax: (2D9) 464-0138 Web: www.sjgov.org/ehd VV <br />PEfT�aEiAvES PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br />ADDRESS: 3255 Wilshire Blvd 41510 CITY/STATE/ZIP: Los A)i,eles. CA 90010 <br />PHONE (1): 213-380-0090 PHONE (2): FAX OR E-MAIL: frankttt,odicenv.con) <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 />❑ CHECK BOX TO EXPEDITE REQUEST - $t 30 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT;H51 DATE 05-04-17 <br />1. List up to ten addresses in the space below. Select the type(s) of files from the list below 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. Applications received after 3:00 pm will be processed the next business day. <br />2- For assistance in identifying the nature and content of EHD records, please contact EHD at the number noted above. <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 $130 deposit prior to review. <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br />Electronic Information: ❑ List ❑ Map - Description: <br />Specific Date Range of Information Requested: From 190 to 2017 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILE ADDRESS <br />EHD USE ONLY <br />FILES <br />® UNOERGROUNO TANK (UST) <br />Street# <br />Street Name <br />City <br />CLEANUP SITE (LOP) <br />3550 <br />S. Highway 99 <br />Stockton <br />uM N <br />OTHER CLEANUP SITE (NON•L <br />HAZARDOUS WASTE <br />© TIERED PERMITTED FACILITY <br />� <br />�/ <br />// <br />/ J l � Pinafp <br />ke, <br />el <br />pAiR� <br />1�, 1 / <br />FEI ABOVEGROUND TANK <br />nn �7 <br />CN OS <br />I <br />PWS <br />B UST (MONITORINGI REMOVAL) <br />® HAZARDOUS MATERIALS <br />SPILL/RELEASE RESPONSE <br />wATSR gvALrrr <br />SOLID WASTE FACILITY / VEHICLE <br />{ <br />n <br />'// <br />. /� <br />� <br />D FOOD FACILITY <br />� / C�.-�xlJ- <br />SITE MA10A71ON <br />❑ POOL I SPA <br />❑ DAIRY <br />5 <br />LAND USE APPLICATION SITES <br />6 <br />O HOUSING <br />Q SEPTIC Pumoeq TRUCK I <br />YARD / CHEMICAL TOILVS <br />W,ASYEWATER TREATIAENT PLANT <br />CUPA <br />HOUSING ABATEMENT <br />7 <br />MOTELMOYCL <br />CVPA - HA2 -MAT <br />CHICKEN RANCH I DOG KENNEL <br />MEDICAL WASTE FACILITY <br />8 <br />I <br />TATTOOlE100Y PIERCING <br />GKOLID wArTE <br />WASTE TIRE <br />9 <br />COMPLAINT <br />❑Ac COV^ -" <br />F -I OTMSn(PLWS SPCGIrT): <br />�D <br />"'BOXED AREA - EHD USE ONLY" <br />❑ Records provided by Staff -PPR Complete. Staff Name: <br />:ceived Time May. 4, 2017 1:32PM No.1450 <br />