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milEml t U t I V r. LJ <br />li ■ DATE RECEIVED <br />�e MAY G 41 told <br />NMEWALHM1+11 <br />PEMAWSEW'CCES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-342D Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />PUBLIC RECORDS RELEASE APPLICATION r f <br />APPLICANT: Frank Trinidad <br />EHD LOG NUMBER <br />BUSINESS/AGENCY: (ktic!IIIIlimnmental <br />ADDRESS: 3255 Wilshire Blvd 41510 CITY/STATE/ZIP; LOS A11,'eles. CA 90010 <br />PHONE (1): 213-380-0090 _ PHONE (2): FAX OR F -MAIL: franklu,odicenv.com <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 PDX TO EXPEDITE REQUEST - $130 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT �i�-(% 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. ` �j%1-2— <br />WELL AND SEPTIC PERMIT RECORDSARE 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 1950 to 2017 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />FILE ADDRESS <br />EHD USE ONLY <br />IW UNDERGROUND TANK (UST) <br />Street# <br />Street Name <br />City <br />CLEANUP SITS (LOP) <br />OYHER CLEANUP SITE (NON,LOP) <br />1 <br />3550 <br />5� 1'iighwBy 99 <br />Stockton <br />C] CoNBuInEF <br />© HAZARDOUS WASTE <br />El DAIRY, <br />© TI[RED PERMITTED FACILITY <br />2 <br />❑N ABOVCGROUND TANK <br />❑ PWS <br />® UST (MONITORING /REMOVAL) <br />® HAZARDOUS MATERIALS <br />7 <br />SPILURELEASE RESPONSE <br />SOLID WASTE FACILITY / VE'NIC6E <br />; <br />WATER QUALITY <br />FOOD FACILITY <br />.11 <br />SITE MITIGAT.ON <br />POOL/SPA <br />DAIRY <br />5 <br />LAND USE APPLICATION SITES <br />fi <br />❑ HOUSING <br />❑E SEPTIC PUMPER TRUCK I <br />YARD / CHEMICAL TOILETS <br />WASTCWATEA' TR¢ATMENT PLANT <br />CLIPA <br />F] HOUSING ABATEMENT <br />T <br />MOTCUHOTCL <br />COPA - NA2•MAT <br />CHICKEN RANCH I DOG KCNNCI <br />MEDICAL WASTE FACILITY <br />8 <br />y <br />/ <br />i <br />f -I TATTOOIBOD`( PIERCINQ <br />® WASTE TIRE <br />9 <br />{// OLID W"o <br />1 <br />COMPLAINT <br />10 <br />C] AGCOVNT.NG <br />0TnSR(PLMA6S SPUMFy): <br />`"'`BOXED AREA - EHD USE ONLY— <br />I,02VAMK W-11 • , _Tim ill,�'I <br />Receive d I Ime May. 4. 201 / 1:32FM No,145O <br />