Laserfiche WebLink
nomTUXEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> m° ENVIRONMENTAL HEALTH DEPARTMENT e7s l <br /> a 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Teleph e: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMEIQALHI M" ,{ II ZI <br /> PEl@Mrr/SERMGE9 <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3265 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.•Yen tive only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQ $125 E ASH CHECK ON Y)- QUEST PROCESSED IN 3 BUSINESS DAYS 1 / <br /> SIGNATURE OF APPLICANT DATE 11-20-17 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street aX Street Name City <br /> 1. 1002 Frontage Rd Ripon l�uur wd <br /> 2. 1022 Frontage Rd Ripon ,r1AW <br /> 3. <br /> 4. <br /> 5. <br /> 5. f�Qol 12-1�1-� 1 <br /> 7. GLAPA -LA iT <br /> 8. � <br /> B. S06( (,1/as4e_ <br /> 10. <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®SOLID WASTE FACILITYNEHICLE <br /> ®WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑FOOD FACtLITY <br /> ❑DAIRY. <br /> ®ABOVEGROUND TANK <br /> (]CHICKEN RANCHI DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> ®HAZARDOUS WASTEIHAZARDOUSMATERIALS ❑MOTELIHOTEL ®PuMPERTRUCKIYARDICHEMICALTOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOL/SPA ®LAND USE APPLICATION SITES <br /> ❑TATmOISODY PIERCING E COMPLAINTIRESPONSE RECORDS [I 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(2091464-0138 or mail to the addross 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 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 USE ONLY­ <br /> I+ r-� 1 a'�X - <br /> ^Received Time°Nov. 20xZvi /=12. 32PN�rNo. 2602s� <br /> - eia�z <br />