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I ■ <br /> E �y pp EHD LOG NUMBER <br /> 8V SAN JOAQUIN COUNTY <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 10 202 600 EastMain St. Stockton CA 95202-3029 ` <br /> M <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3255 Wilshire Blvd #1510 CITY/STATE/zip: 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 date of application submittal-`Tentative only•must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$12 E SH R HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT „ _ / DATE ►zf �/l _ <br /> Electronic Information: [I List❑ Map--Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City Unit 7 <br /> 1206 E. March Ln Stockton iAll <br /> 2. Unit2 <br /> 3. <br /> P , <br /> 4. Unit 3 f <br /> 5. <br /> i' <br /> 6. BUS-SO A. 1 2 y y "t]unit 4 <br /> 7. To view the HMMP (Hazardous <br /> g, Materials Management Plan)go to the El unit <br /> 9 following website:www.sjoesdata.org <br /> 10. ,/0 Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERCROUND TANK(UST)CLEANUP SITE(LOP) ❑HoU51NG ABATEMENT SOLID WASTE FACILITYIVEHICLE <br /> THER CLEANUP SITE(NcN•LOP) El FOOD FACILITY VWASTETIRE ] �j��S 0e" ILI" <br /> NPI-RGROUND TANK(MONITORINGIREMOVAL)� ❑DOG KENNEL AIRY <br /> IAZARDOLIS <br /> WASTEGENERATO � ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> 'gJIERED PERMITTED FACILITY ( ❑MOTELIHOTEL PUMPER TRUCKIYARDICHEMICALTOILETS <br /> LJ I ATTOOIBODY PIERCING ❑POOLISPA ❑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:OOPM(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)464-0136 or mall 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 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 /> AHD 48.06 07129110 <br /> Received Time Dec. 10, 2012 2: 37PM No. 1811 <br />