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ATE RECEIVED EHP LOG NUMBER <br /> SAN JOAQUIN COUNTY VI) <br /> ENVIRONMENTAL HEALTH DEPARTM T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205 6232 <br /> AIR 15 ',20 1� elephone: (209) 468-3420 Fax: (209) 464-0138 Web: Www.sj90V.Or9/ehd <br /> "aw4", PUBLIC RECORDS RELEASE APPLICATION <br /> P� t <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3255 Wilshire Blvd#1510 CITYISTATE/ZIP: 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 date of application suhmittal-`Tentative only.must be confirmed) <br /> ❑ CHECK 13OXTO EXPEDITE REQUEz T-$1 5�(C H R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 01-14-13 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> EHD USE ONLY <br /> FILE ADDRESS <br /> Street q Street Name CRY ❑Unit 1 <br /> 1. 9484 West Ln Stockton <br /> i <br /> 2 e�unit 2 <br /> 3. <br /> 4. <br /> Unit 3 n� <br /> ,f <br /> Lo. mLiL., <br /> Unit 4 <br /> i <br /> ❑Unit 5 <br /> unit 6Specific Date Range of Information Requested: From <br /> ENVIRONFAE TAC HEALTH DEPARTMENT FILES OLID WASTE FACI N NI <br /> IAJ30VEGROUND <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) MuEDICAL WASTE FACILITY P�j -(�/J1 <br /> THERCLEANUPSITE(NON-LOP) ❑HousiNGARATEMENT WASTE TIRE �t'./3 <br /> NDERGROUNDTANK(MONITORINGMEMOVAL)V ❑FOOD FACILIN DAIRY TANK, ❑CHICKEN RANCH/DOG KENNEL ASTEWATERTRT1rTMENT PLANT <br /> MOTELIHOTEL UMPER TRUCKIYARDICHEMICAL TOILETS <br /> AZARDOUS ITTEDFHAZARDODSMATERIALS} ❑❑POOLISPA LAND USE APPLICATION SITES <br /> IERED PERMITTED FACllln(�L ❑COMpLAINTIRESPONSE RECORDS �THER(PLEASE SPECIFY) <br /> ATTOOIBODY PIERCING <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM (EXCLUDING HOLIDAYS) <br /> 1. List un 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 208 464-0138 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 /> ay not be immediately available for review. Anew application may be <br /> 3. A file that is actively being worked on by EHD staff m <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 some applicant may require a$125 deposit prior to review, "`BOXED AREA•EHD u E$ ONLY'_ <br /> t <br /> d-U y f O6 �0 145 <br /> Received Time—Jan. 14, -20136 8:40Pth. 2104Staff N/ <br /> U Keeoras proviaea Dy sta -rrn v tuMow. ame i 9j4 Z <br />