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% C�E I q E `. EHD LOG NUMBER <br /> pL= '@L= YVA 6L+.IL✓, SAN .IOAQUIN COUNTY <br /> ■e ENVIRONMENTAL HEALTH DEPARTMENT Q <br /> N NUV i'. u Z1.11t1868 East Hazelton Avenue, Stockton, CA 95205-6232 ` <br /> ■ <br /> Telephone:I(209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONM.FJ,f1AL HJ=A.LT11 IZLVi <br /> PEMITYSEMA-6ES il-�613LIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3266 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-'T'en five only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDrrE RECU $125 ASH CHECK ON Y)- QUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 11-20-17 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street d Street Name City <br /> (1 1. 1002 Frontage Rd Ripon tjo fiD, U/u'-V-r ' <br /> 2. 1022 Frontage Rd Ripon u/71-(gyp Z (pfjaa) yr <br /> 3. 9kt+�•� <br /> 4. <br /> 6. GLy"A ST Iiv-1 <br /> 6. IHit/ <br /> Ask 7. ;C�ZdI Gvtn-(AST <br /> s- <br /> 9. -�- 0001 S,l� tv <br /> 10. V' <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ®MEDICAL WASTE FACILITY ®SOLID WASTE FACILITYIVEy IC�LE� 17� <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑ i <br /> HOUSING ABATEMENT ®WASTE f <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL) ❑FOOD FACILITY ❑DAIRY, <br /> __C�� <br /> ®ABOVEGROUND TANK ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ®TIERED PERMITTED FACILITY ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOOIBODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List u0 to ten addresses in the space above. Select the type(s)of files from the list above by checking the approprlate <br /> box(ea). At least one file type MUST be selected. Fax to(2091464-0138 or mail to the address indicated above. Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the END. 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 now 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-FHD USE ONLY­ <br /> 492 <br /> .. md�. BY <br /> f•ntir �l-'79 k..1r�1 ':k"h. :y'dtx* fnldy{, .'ii• �� iFrrryw +2iFd i s. Yr< .S 7 xagy4: T� _ .:x i x` — <µaeFn''Ku.l ....',. <br /> ,..,w . .eS `�,,:.rY`{` .,.k✓F�..t:.:S.ka ti.f.w cv.Yx. '.'�+d," {."'Sxv4bY 1 ,.. ..A ,� I <br /> m <br /> 9r'.� x� ,(n�F.�yi�,'-�r-u •.!a.i. �_�r•:i'::.:i•��!_'q:?3.'4:'..-:. __'. ���' '� � i. a9 .�4' .,1•^'.�= '✓ =u^i~•�a.�+u . <br /> .1 i.7'ie�'✓{'r i..i.JiaS .Nl l.'>.•CL- I"17'IG¢l.1^:r .I rLE'3:�✓ 4': f'1� 4 _'�. iS •� 1 1 GI ME OR <br /> Received Time°'Nov. 20 x"2017512 32PN No 2602s� <br /> Il P v (�M,�,�IQIS t U�I-Sifl ewe (�1rS f� lSlanh dr2c�))r2 i b( � 9 <br /> 1 5C ('1 . ComFfer' f FF4�' It e5_5 .'7 •T 54�inP( �1'� Filf C ;t s,Jh 1e n hesF�). <br />