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DATE RECEIVED WSAN JOAQUIN COUNTY EHD LOG NUMBER <br /> MAY Q 42017 6_4 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue,Stockton,CA 95205-6232 <br /> IT�SE � Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd Lof <br /> pEmPUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Frank Trinidad BUSINESS/AGENCY: Odic Environmental <br /> ADDRESS: 3255 Wilshire Blvd#1510 CITY/STATE/ZIP: Los A)1,eles.CA 90010 <br /> PHONE(1): 213-380-0090 PHONE(2): FAX OR E-MAIL: frankta od'icenv.conl <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$130 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 313USINESS DAYS <br /> SIGNATURE OF APPLICANT1 .—(/� DATE 05-04-17 <br /> 1. List up to ten addresses in the space below. Select the type(s)of files from the list below 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.Applications received after 3:00 pm will be processed the next business day. <br /> 2. For assistance in identifying the nature and content of END records,please contact END at the number noted above. <br /> 3. The END will notify the applicant if any END 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 /> 4. Any file not returned in the same condition as released will be reorganized by END staff at the expense of the applicant <br /> Future file reviews by the same applicant may require a $130 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDSARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) t <br /> Electronic,Information: ❑ List[]Map-Description: <br /> Specific Date Range of Information Requested: From 1950 to 2017 <br /> ENVIRONMENTAL. <br /> HEALTH DEPARTMENT FILE ADDRESS <br /> FILES EHD USE ONLY <br /> UNDERGRCUNO TANK(UST) Street# Street Name City <br /> CteANVPSrce(LOP) $ Hi hwa 99 ❑ U A <br /> ®OTHER CCEANU?SITE(NOW1 3550 � � y StocktonA*/ <br /> ®HAZARDOUS WASTERY <br /> / / / AI <br /> ®TIERED PERMITTED FACILITY 2 <br /> / Q1/ J J? Pro 01 8 " I`i <br /> O ASOVt'GROUND TANK ,J6,,��` <br /> UST (MONRORING/REMOVAL) f 1„}) S <br /> HAZARDOUS MATERIALS 3 <br /> 7 On C10 <br /> SD0.L/RELEASE RESPONSE 5t U . �� <br /> AT{R QUALITY <br /> SpLIp WASTE FACILITY I VEHICLE A � � � i /� <br /> ❑ QW <br /> FOOD FACILITY lam_f���J ` <br /> Q POOL/SPA kJ SITE M TIOA710N <br /> DAIRY 5 <br /> ®LAND USE APPLICATION SITES <br /> ❑HOUSING <br /> SEPTIC PUMDER TRUCK/ <br /> 6 <br /> YARD/CHEMICAL TOILETS <br /> ®WAVeWATER TREATMENT PLANT CUPA <br /> F]HOUSING ABATEMENT 7 <br /> MOTEL/HOT£L <br /> CHICKEN RANCH 1000 KENNEL cVPA-HA2-MAT <br /> A <br /> MEDICAL WASTE FACtLRY <br /> ❑TATTOOJBODY PIERCwO <br /> ­Wlw:S <br /> WASTE TIRE @ <br /> COMPLAINT <br /> ❑OTHSR(PLVAZr ❑AQCOVnr'uG <br /> TD <br /> " BOXED AREA-EMD USE ONLY" <br /> ❑ Records provided by Staff-PPR Complete. Staff Name: <br /> Received Time May, 4, 2017 1 : 32PM No. 1450 <br />