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�MDATEERECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> RECEIVED ENViriONMENTAL HEALTH DEPARTML,iT <br /> I <br /> I� OCT 1 20 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' „ ephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES 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 /> TENTATIVEx APPOINTMENT DATE: Time- <br /> (Please allow 10 business days from date of application submittal--*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASIj OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT I DATE 10-14-13 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> F=ILE ADDRESS EHD USE ONLY <br /> Street# Street Name City — _ ❑ Unit 1- <br /> 1. 1405 California St Escalon cos�p <br /> J� . <br /> 3unit 2 <br /> r� 3. <br /> f j ' Unit 3 <br /> 6. Unit 4 <br /> 7. <br /> 8• ❑ Unit 5 <br /> 9. <br /> 10. 1Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ,54 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) MEDICAL WASTE FACILITY SOLID WASTE FACILITYNEHICLE �c <br /> OTHER CLEANUP SITE(NON-LOP) HOUSING ABATEMENT ASTE TIRE <br /> UNDERGROUND TANK(MONITORING/REMOVAL) []FOOD FACILITY DAIRY <br /> ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL. ASTEWATER TREATMENT PLANT � <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL LIMPER TRUCKIYARDICHEMICAL TOILETS <br /> TIERED PERMITTED FACILrrY_ ❑POOLISPA AND USE APPLICATION SITES <br /> TATTOO/BODY PIERCING ❑COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND 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 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 application may be <br /> submitted when the flee 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_ '"`B *” <br /> '"`BOXED AREA EHD USE ONLY <br /> 2 LV l l 6Lr, CJS P�2�1g — <br /> _ 4— A"P <br /> ReceivedJTime `Oct.15.'-2013 2 50P�N �ffName: <br /> o�4306' <br /> Receivedv>u•vv 9�4f 12 <br />