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MAY. 19.2004 10; 34AM WAT STONE ENV. 114-414-1166 1p N0.9122 P. 2/2 <br />TE RECEIVED <br />il� I 'i i % R j1I (1� .SCAN JOAQUIN COUNTY EHD LOG NUMBER <br />L- ! �- i '/ (�- lJ ENVIRONMENTAL HEALTH DEPARTMENT <br />AM <br />MAY 1 9 200 304 E Weber Ave 3"' Floor Stockton, CA 95205 <br />09) 468-3420 Fax: (209) 464-0138 Web: www,co.san joaquin.ca.us/ehd 600-2 <br />ENVIRONMENT HE <br />kLTH <br />PER r PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT_ Brianne GibsonBuslNessiAGENc,.Waterstone Environmental <br />ADDRESS. 2936 E. Coronado Street, Anaheim, CA 92806 <br />PHONE: 714-414-1122 FACSIMILE: _714-414-11 , <br />TENTATIVE APPOINTM"T DATE: Time: <br />(Please allow 10 business days from date of epplicatton submittal) <br />® CHECK BOX TO EXPEDITE REQUEST - $03.00 FEE — REQUEST PROCESSED IN 3 BUSINESS DAYS <br />SIGNATURE OF APPLICANT DATE <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />jUNDEROUNDGRTANK (UST) CLEANUP SITE (LOP) <br />OHER CLEANUP SITE (NON -LOP) <br />UDERGROUND TANK (MONITORING/REMOVAL) <br />OIL HAZARDOUS WASTE GENERATOR <br />10 TIERED PERMITTED FACILITY <br />0 TATTOOfSODY PIERCING <br />13 MEDICAL WASTE FACILITY <br />Department Use Only <br />UNIT <br />❑ Unit 1 <br />❑ Unit 2 <br />v Unit 4 <br />❑ Unit 5 <br />13 HOUSING ABATEMENT <br />FILE ADDRESS <br />Foot) FACILITY <br />® SOLID WASTE VEHICLE <br />2020 North MacArthur Drive <br />O DAIRY <br />C CHICKEN RANCH <br />❑ PKG TREATMENT PLANT <br />CRY Tra <br />2. <br />simi 502 East Grantline Road u --,-i- <br />v4 Tra cY <br />3. <br />&reel <br />�It <br />4. <br />$veer <br />GI <br />S. <br />Street <br />Gt <br />9. <br />Sum <br />G <br />9. <br />Soael <br />to <br />8. <br />Sum <br />1 <br />c1tv, L <br />�. <br />suaet <br />90, <br />3"w <br />ENVIRONMENTAL HEALTH DEPARTMENT FILES <br />jUNDEROUNDGRTANK (UST) CLEANUP SITE (LOP) <br />OHER CLEANUP SITE (NON -LOP) <br />UDERGROUND TANK (MONITORING/REMOVAL) <br />OIL HAZARDOUS WASTE GENERATOR <br />10 TIERED PERMITTED FACILITY <br />0 TATTOOfSODY PIERCING <br />13 MEDICAL WASTE FACILITY <br />Department Use Only <br />UNIT <br />❑ Unit 1 <br />❑ Unit 2 <br />v Unit 4 <br />❑ Unit 5 <br />13 HOUSING ABATEMENT <br />E3 SOLID WASTE FACILITY <br />Foot) FACILITY <br />® SOLID WASTE VEHICLE <br />❑ DOG KENNEL <br />O DAIRY <br />C CHICKEN RANCH <br />❑ PKG TREATMENT PLANT <br />13 MOTELMOTEL <br />E3 PUMPER TRUCKIYARDICHEM TOILETS <br />POOLISPA <br />13 LAND USE APPLICATION SITES <br />0 OTHER (PLEASE SPECIFY► <br />1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking <br />the appropriate box(es). At least one file type MUST be selected. Fax to (2091464-0133 or mail to the <br />address Indicated above. <br />2. EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed <br />approximately five business -days but no later than ten (10) days after receipt of application. The files <br />will be held for a maximum of five business days for review. Appointments should be scheduled <br />accordingly. <br />3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new <br />application may be 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 <br />of the applicant. Future file reviews by the same applicant may require a $93.00 deposit prior to review. <br />5. "TENTATIVE appointment dates must be confirmed with EHD staff. <br />6. Applications received after 3:00 pm will be processed the next business day. <br />CONFIRMED APPOINTMENT DATE 11ME <br />DATE CONFIRMED PHONE FAX INITIALS <br />REVIEWED YES NO REVIEW DATE <br />END 16-02.0 <br />-W <br />