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p <br /> IW. sDATERECEIVED j EHD LOG NUMBER <br /> _ SAN .JOAQUIN COUNTY <br /> jN 0 W5 ENVIRONMENTAL HEALTH DEPARTMENT r <br /> ii 1868 East Hazelton Avenue, Stockton, CA 9520232 <br /> Te�eone : (209) 468-3420 Fax: (209) 464-0138 Web : www.sjgov. org/ehd s <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 date of application submittal - `Tentative only- must be confirmed) <br /> ❑ CHECK BOXTO EXPEDITE REQUEST - $125OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT H DATE 06-04-15 <br /> Electronic Information : ❑ List ❑ Map — Description : <br /> FILE ADDRESS EHD USE ONLY <br /> Street StreatName City ❑ unit 1 <br /> 1 . 130 N. Hunter St Stockton 1 �-1ct <br /> 2. -ll Unit2 / <br /> 3. _ pp. <br /> U.71 nit 3 <br /> 5. <br /> 6. <br /> !'��l p unna <br /> 7. Cfl <br /> 1 1 <br /> 8' EI Units <br /> 9. <br /> 10. <br /> .. _ donit6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT PILES <br /> ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) MEDICAL WASTE FACILITY Z SOLID WASTE FACILITYIVEHICLE <br /> OTHER CLEANUP SITE (NON-LOP) ❑ HOUSING ABATEMENT 0 WASTE TIRE <br /> UNDERGROUND TANK (MONITORINGIREMOVAL) ❑ FOOD FACIUTY ❑ DAIRY <br /> ® ABOVEGROUND TANK 0 ❑ CHICKEN RANCHI DOG KENNET. ® WASTEWATER TREATMENT PLANT <br /> ® HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ® TIERED PERMITTED FACILITY ❑ POOLISPA LAND USE APPLICATION SITES <br /> ❑ TATTOOIBODY PIERCING ® COMPLAINT/RESPONSE RECORDS ❑ OTHER (PLEASE SPECIFY) <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM (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) 464-0138 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 FHD 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 /> I Future file reviews by the same applicant may require a $125 deposit prior to review. ' BOXED AREA - EHD USE ONLY^ <br /> i <br /> eceived TimeVJun , 4 %2015-F4 17PN.nNo . 8891 !afName: <br /> _— <br /> END 4645 a/anz <br />