Laserfiche WebLink
YDATE RECEIVED d EHO LOG NUMBER <br /> RECEI\ ED % Z SAN �OAQUIN COUNTY <br /> I� �i G E61RONMENTAL HEALTH DEPARTMENT <br /> EM A 2 p� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Te1�ephone; (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> • pPFMIIi1Sr LIBLIC RECORDS RELEASE APPLICATION 9 3311 <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3255 Wilshire Blvd#1510 CITYISTATEIZIP: 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 data of application submittal-•Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST 5125 FEE OR CHE ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS LI t7 <br /> SIGNATURE OF APPLICANT DATE 03/30/2018 Illi <br /> Electronic Information; ❑ List❑ Map-Description; <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 1206 E.March Ln ; t i{M IAw US l he (.J Stockton <br /> 2 9484 West Ln SrH,lah i t ati LJ Stockton - <br /> 3. 3400 N.Macarthur Dr Nh tAVj IA j Tracy <br /> 4. �4 Q <br /> 5' /nl'l i sm,�rti GnpA-IAn., <br /> s. m of �cas�mT �e� <br /> 7. p ai in 146-Je7lIn F <br /> B- - a <br /> S. t^ts <br /> pV10 tialL4 4 iu,�e <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> E UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE <br /> E UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY <br /> E ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKNARDICHEMICAL TOILETS <br /> E TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING E COMPLAINT/RESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 5:00 AM-5:o0PM(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)464-0136 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 appllcatlon 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 $125 deposit prior to review. "'BOXED AREA-EHD USE ONLY-* <br /> 77, <br /> .. G(n ty t �:. �i'a�F�. .;ir 1Z�4-�mr lllr.N,•.,. <br /> Received`Time-Ma <br /> Ar�30~y201'8ff 9 02PN11No.t3280�$�t�Na'ne "_ <br /> 914112 <br />