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EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> �Aff6bVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> DEC 14 202 600 East Main St.Stockton, CA 95202.3029 <br /> Telephone: (209)468-3420 Pax: (209)464-0138 Web:www.sigov.org/ehd <br /> ENVIRONMENTALHEALTHPUBLIC RECORDS RELEASE APPLICATION <br /> PERK 11SERVICO-7- <br /> APPLICANT: Prank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: <br /> 3265 Wilshire Blvd #1510 CITY/STATE/ZIP: Los Angeles, CA 90010 <br /> PHONE(1): 213-380-0090 PHONE(2): FACSIMILE:-213-380-0605 <br /> TENTATIVE*APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal--rantadve only-must be confirm®d) <br /> ❑CHECK BOXTO EXPEDITE REQUES -$122 FEE(CASH 9RC CK ONLY)-REQUEST PROCESSED IN 3 BUST SS DAYS <br /> SIGNATURE OF APPLICANT DATE 1:2,1Electronic Information: ❑List ElMap—Description: <br /> i <br /> FILE ADDRESS EHD USE ONLY <br /> Street#t Street Name City ❑wit 1 �'s <br /> 2615 W. Grant Line Rd Tra �� �� I�6 <br /> u <br /> Unit 2 <br /> 4, JAI Unita <br /> 6, /0 Unit4 <br /> 7. <br /> g_ p Unit s <br /> 9. <br /> 10. ©Unit 6 <br /> Specific Date Range of Information Requested; From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES r <br /> UNDERGROUND TANK(UST)CLEANUP SiTE(LOP) u HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> THER CLEANUP SITE(NON-LOP) FOOD FACILITY AsTETIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVALV, ❑DOG KENNEL DAIRY <br /> HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH WASTEWATER TREATMENT PLANT <br /> FRED PERMITTED FACILITI(- <br /> >, MOTELIHOTE!, PUMPER TRUCKIYARDICHEMICALTOILETS <br /> ,0TATTOOIBODY PIERCING r]POOLISPA F1 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELLAND 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 209 464-0138 or mail 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. 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 flle.reviews by the same applicant may require a$122 deposit prior to review. <br /> EHD USP ONLY <br /> 1,4 <br /> EHD 4848 07129110 <br /> Received Time Dec. 13. 2012 9:37PM No. 1869 <br />