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i A76RcEIv�D t, '� } EHD LOCA NUMBER <br /> SAN JOAQUIN COUNTY <br /> i t Z015ENVIRONMENTAL HEALTH DEPARTMENT <br /> I® 11 , b*7 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> one: (209) 468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3255 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-"Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$175 FEE CASH OR HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 06-04-15 <br /> Electronic Information: ❑ List❑Map—Description: <br /> PILE ADDRESS EHD USE ONLY <br /> Street# Street Name City []Unit 1 <br /> 1 e 106 N.Hunter St Stockton (017 <br /> 2. 201 E.Weber Ave Stockton - ��- (�J7 i! '�jd ](]'Unit 2 <br /> 3. 211 E.Weber Aver a Stockton �TO r �� i <br /> 4. 219 E.Weber Ave Stockton /gyp Unit 3 <br /> 5. 223 E.Weber Ave Stockton A)0 &C-4 <br /> 6. 225 E.Weber Ave ;, , Stockton O k� a unit 4 <br /> F <br /> 7e t <br /> 8, ❑Unit 5 <br /> 9. <br /> 10. Unit e <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 FACILI_ NE ICLE y <br /> Z OTHER CLEANUP SITE(NON-LOP) [j HOUSING ABATEMENT ®WASTE TIRE d r <br /> ®UNDERGROUND TANK(MONITORINGIREMOVAL ❑FOOD FACILITY ❑DAIRY A —1� -i <br /> 0 ABOVEGROUND TANK 0�, ❑CHICKEN RANCH/DOG KENNEL ®WASTEWATER TREATMENT PLANT <br /> HAZARDOUS WASTE/NAZARDOUS MATERIALS ❑MOTELIHOTEL ®PUMPER TRUCKIYARDICHEMICALTOILETS <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-5:00PM(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(2091464-0138 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. Appointments <br /> should fie 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$125 deposit prior to review. "*"BOXED AREA-EHD USE ONLY*** <br /> Received Time-Jun, 4. 1 20158 4:09P�biNo, 88 `9staffName: <br /> EHD 48.08 y B/M1� <br />