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EHD LOG NUMBER <br /> SAN COUNTY <br /> ENVIRONMENTAL HUEALTH DEPARTMENT I_2 <br /> DEC 14 2012 600 East Main St.Stockton, CA 95202-3029 J <br /> ■•^,' �/, � <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web,www.sjgov.orglehd I�VVV <br /> FNVIRONMENTALHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> P <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3255 Wilshire Blvd#1510 C►TYISTATErzIP: Los Angeles, CA 90010 <br /> PHONE(1): 213-380-0090 PHONE(2): FACSIMILE:-213-380-0505 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Ploase allow 10 business days from date of applicator submittal-•rentaUve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUES -$122 FEE(GASH C CK ONLY)-REQUEST PROCESSED IN 3 BUST SS DAYS <br /> SIGNATURE OF APPLICANT DATE Z /Y <br /> Electronic Information: ❑List❑ Map—Description: <br /> FILE ADDRESS EHD Use ONLY <br /> Street# Street Name city ❑onit 1 <br /> \q1. 2615 W. Grant Line Rd —Tracy �i� Y tVo(Ql�j <br /> Y u <br /> Unit '��'/ <br /> x 3. / <br /> 4. 21`Unit3 ` <br /> 6. A Unit4 <br /> 7. <br /> 8. ❑Unit s <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> NDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT tpwUMPERTRUE;KfYARD/CHEMICALToiLETs <br /> OLID WASTE FACILrrYNEHICLE <br /> MOTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY AsTETIRE <br /> ZHA7ARDous <br /> NDERGROUND TANK(MONITORINGIREMOVALV, El DOG KENNEL AIRY <br /> WASTE GENERATOR� ❑CHICKEN RANCH ASTEWATERTREATMENT PLANT <br /> IERED PERMITTED FACIUTII; 91 ❑MOTELIHOTEL <br /> 0 TATTOOSODY PIERCING ❑POOLISPA ❑LAND USEAPPLICATION SITES <br /> bU.MmicALWAsTE 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 uD 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(20914640138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-for additional assistance with floe addresses,contact the EHD. Applications recelved 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 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 NSE ONLY , ^' <br /> L� t jTe xmri <br /> Eno 0-06 07129110 <br /> Received Time Dec. 13, 2012 9:37PM No. 1869 <br />