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rEHD LOG NUMBER <br />Ei `A OV SAN JOAQUIN COUNTY <br />'b"� ENVIRONMENTAL HEALTH DEPARTMENT <br />DEC 14 Z02 600 East Main St. Stockton, CA 95202-3029 <br />Telephone, (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ENVIRONMENTAL HEALTH PUBLIC RECORDS RELEASE APPLICATION <br />PERIVIfifSERVICET <br />APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br />ADDRESS: <br />3255 Wilshire Blvd 41510 CITY/STATEIZIP: 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 buslnese days from date of appIIca0on submittal - Irenrative only- must be confirmed) <br />❑ CHECK BOX TO EXPEDITE REQUES - $122 FEE (GASH C Il` CK ONLY) - REQUEST PROCESSED IN 3 BUST SS DAYS <br />SIGNATURE OF APPLICANT, •- DATE Z /�- - <br />Electronic Information: ❑ List ❑ Map - Description: <br />FILE ADDRESS <br />EHD USE ONLY <br />❑ Rnit 1 <br />Stroet # <br />Street Name <br />City <br />�. <br />2615 <br />W. Grant Line Rd <br />Tra <br />' �(P� <br />,dunrt z <br />3. <br />/ <br />L! unit9 <br />4. <br />5. <br />i❑ Unit 4 <br />6. <br />7. <br />E] Unit 5 <br />$, <br />9. <br />2/unit 6 <br />10. <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT SOLID WASTE FACILrrYNEHICLE <br />THER CLEANUP SITE (NON -LOP) [] FOOD FACILITY ASCE TIRE <br />UNDERGROUND TANK (MONITORINGIREMOVALV— ❑ DOG KENNEL DAIRY <br />A7ARDOUS WASTE GENERATOR F1 CHICKEN RANCH ILWASTEWATER TREATMENT PLANT <br />fHERED <br />PERMITTED FACILIT`t�_ 1`71 MOTELIHOTEL PUMPER TRUCKIYARDICHEMICALTOILETS <br />� <br />TATTOO/BODY PIERCING F1PooLISPA E] LAND USE APPLICATION SITES <br />MEDICAL WASTE FACILITY ❑ 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 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 209 464-013B or mail to the address Indica ed 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. Appointment's <br />should be scheduled accordingly. <br />3, A fila 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 $122 deposit prior to review. <br />EHD USE ONLY <br />i - Z 5 e, C4 -H C <br />07129110 <br />EMD 48 -OB <br />Received Time Dec,13. 2012 9:37PM No.1869 <br />