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EHD LOG NUMBER <br /> REEEEIVED • SAN JOAQUIN COUNTY <br /> DEC 1 0 202 600 <br /> HEALTH DEPARTMENT <br /> 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.orglehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITJSERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad I3USINESSIAGENCY: Odic Environmental <br /> ADDRESS: 3255 Wilshire Blvd #1510 CITYISTATEIziP: 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 business days from dale of application submittal-`Tentative only•must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEU T-$1 iSH R);HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �� //A DATE d-1'112== <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> (�1/ Street# Street Name city Unit1 <br /> CJI Al' 1 1206 E. March Ln Stockton Uq 1 C <br /> flv�l Z. i untt2 <br /> 4 /(]unit /,- <br /> 5. � /I <br /> 6, buy�p sk t7 44 -/D Unit <br /> 7, To view the HMMP(Hazardous <br /> $ Materials Management Plan) go to the El units <br /> g following website:www.sjoesdata.org <br /> 10. /O Units <br /> Specific Dale Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT riLES <br /> IA7ARDOUS <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ElHOUSING ABATEMENT SOLID WASTE FACILITTNEHICLETHER CLEANUP SITE(NON•LOP) [IFIFOOD FACILITY WASTE TIRE 1 )P3 fO/NOERGROUND TANK(MONITORINGIREMOVAL)O\ F1DOG KENNEL I�WASTE GENERATORdo ❑CHICKEN RANCH VARY <br /> ASTEWATERTREATMENT PLANT <br /> IERED PERMITTED FACILITY l�a ❑MOTELIHOTEL UMPER TRUCKNARDICHEMICALTOILETS <br /> tTATTOOBODY PIERCING ❑PDOl1SPA <br /> W ❑LAND USE APPLICATION SITE$ <br /> MEDICAL WASTE FACILITY OTHER(PLEASE SPECIFY) <br /> WEl <br /> SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List uo 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 indicatov <br /> ed abe._ Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. App] on. <br /> 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$122 deposit prior to review. <br /> EHD USE ONLY <br /> -)2 a U n P9Z 44 <br /> 97I29M e <br /> P$40424G <br /> Received Time Dec, 10, 2012 2: 37PM No. 1811 <br />