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�U04/12/2016 TUE 15:53 FAX ■ Q U001/001 1 RECEIVELr—) DARECEIVED EHD LOG NUMSER -SAN JOAQUN COUNTY * ENVIRONMENTAL HEALTH DEPARTMENT � 1868 East Hazelton Avenue, Stockton, CA 95205-6232 2 APR 12 2016 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: vvww.sjgov.Qrg/ehd rv7R 4It,ENTAL H TI FIERvaTro,�vicES PUBLIC RECORDS PIELEASE APPLICATION CT� APPLICANT: Lyla Gray-Etherson BUSINESS/AGENCY: Property Solutions Inc ADDRESS: 323 New Albanv Road CITY/STATEIZIP: Moorestown, NJ 08057 PHONE (1): 956-813-3000 eKt245 prntm (2); FACSIMILE: 056-813-1073 TENTATIVE` APPOINTMENT PATE: Time: (Piaaso Allow 10 business days from date of application submittal -'Ton (caye only- must be confirmed) ❑ CHECK BOX TO EXPEDITE REQUU// T - $125 FEE (CASH OR CHECK ONLY) - REQUEST PROCESSED IN 3 BUSINESS DAYS SIGNATURE OF APPLICANT DATE 71/ Z// �, Electronic Information: ❑ List ❑ Map mDosorintlork- - Spac{flc Dai@ Range of Information Raquastsd: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE ® OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ WASTE TIRE ® UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY ® HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARD/CHEMICAL TOILETS ❑ TATTOO/13ODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 6:00 A m-5:00pm (EXCLUDING HOLIDAYS) 1, flet up to ten addresses In the space above. Select the type(es) of f11ee from the list above by checking the appropriate box(es). At least one file type MUST be selected, Fix to (209) 454-0138 or mall to the address Indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed. the next buslnees day, 2. The EHD will notify the applicant if any EHD files exist, An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files wlII be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3, A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be £ubmitted ta,hen the file Is available, 4. Any file not returned In the same condition as released will be reorganised by ERD staff at the e!:pen_e of the applicant Future file reviews by the some applicant may require a $125 deposit prior to review. Received Time Apr.12. 2016 1:52PM No -0691 -gym f! IJJiI l 1 (LjyAj `` FILE ADDRESS EHD USE ONLY ❑ Unit 1 Street # Straat Nacna City _— 2 _(Ck-WD/Unit 3, Unit 3 4' 5. Unit 5 t7 !Un>t & 10. Spac{flc Dai@ Range of Information Raquastsd: From to ENVIRONMENTAL HEALTH DEPARTMENT FILES ® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYNEHICLE ® OTHER CLEANUP SITE (NON -LOP) ❑ FOOD FACILITY ❑ WASTE TIRE ® UNDERGROUND TANK (MONITORING/REMOVAL) ❑ DOG KENNEL ❑ DAIRY ® HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT ❑ TIERED PERMITTED FACILITY ❑ MOTEL/HOTEL ❑ PUMPER TRUCKIYARD/CHEMICAL TOILETS ❑ TATTOO/13ODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES ❑ MEDICAL WASTE FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 6:00 A m-5:00pm (EXCLUDING HOLIDAYS) 1, flet up to ten addresses In the space above. Select the type(es) of f11ee from the list above by checking the appropriate box(es). At least one file type MUST be selected, Fix to (209) 454-0138 or mall to the address Indicated above. Address ranges will not be accepted - for additional assistance with file addresses, contact the EHD. Applications received after 3:00 pm will be processed. the next buslnees day, 2. The EHD will notify the applicant if any EHD files exist, An appointment for review will be confirmed approximately ten (10) days after receipt of application. The files wlII be held for a maximum of five business days for review. Appointments should be scheduled accordingly. 3, A file that Is actively being worked on by EHD staff may not be Immediately available for review. A new application may be £ubmitted ta,hen the file Is available, 4. Any file not returned In the same condition as released will be reorganised by ERD staff at the e!:pen_e of the applicant Future file reviews by the some applicant may require a $125 deposit prior to review. Received Time Apr.12. 2016 1:52PM No -0691 -gym f! IJJiI l 1 (LjyAj ``