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ME DATE RECEIVED;" � _�.• EHD LOG NUMBER <br /> ■■ `, SAN JOAQUIN COUNTY ,y <br /> ;■ jUN 0 4 2015 ENVIRONMENTAL HEALTH DEPARTMENT <br /> ME 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �L <br /> ENVIRONMEar,,,T_.ef�RLAoXe: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd v <br /> v�arirrl8EF1VICE5 <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 dale of application submittal-'Tentative only-must be confined) <br /> ❑CHECK BOX TO EXPEDITE REQUEST.$125 H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 06-04-15 <br /> Electronic Information: ❑List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street III Street Name City <br /> ❑Unit f <br /> t <br /> 130 N.Hunter St Stockton <br /> 3. <br /> ZilUnit2 <br /> 4. <br /> i0rLWA ( fltc 0 1 QfUnit3 <br /> 5. <br /> so <br /> 6. y�" <br /> 7 — Unit4 <br /> 9. <br /> Unit 5 <br /> 10. <br /> donit <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 MEDICAL WASTE FACILITY <br /> ®OTHER CLEANUP SITE(NON-LOP) F-114OUSINGASATEMENT ®SOLID WASTE FgCILITYNEHICLE <br /> ®UNDERGROUND TANK ONITORING/REMOVAL ®WASTE TIRE <br /> M ' <br /> ( ) FOOD FACILITY ❑DAIRY <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEj, <br /> ®HAZAROous WASTEMAZARDOUs MATERIALS ❑MOTWHOTEL ®WASTEWATER TREATMENT PLANT <br /> ®TIERED PERMITTED FACILITY ❑POOL/SPA ®PUMPER TRUCK/CATION si rs TOILETS <br /> ❑TATTOO)BODY PIERCING ®COMPLAINT/RESPONSE RECORDS ®LAND USE APPLICATION SITES <br /> ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> 1. Listu to ten addresses in the space above. Select thetype(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)404-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addressescontact the EHD. Applications received after <br /> 3:00pm will be processed the next business day. , <br /> 2. The EHD will notify the applicant if any EHD flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The Flies 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 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 9,AE ONLY— <br /> Received Time—vJun.- 4U'2015_FI17PNTNo; 889 ffNaine: <br /> Eltu4p.py' / <br /> 9r4H2 <br />