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E07/24/2017 MON 9: 69 FAX IQ�001/001 <br /> ■ <br /> ■ c,/'w (� g <br /> ■■ RETGEf`1i EI I SAN JOAQUIN COUNTY ELID LOO NUMBER <br /> ■■ Q ! a� <br /> !L'f_ � li 2�`I7 P0.1 ENVIRONMENTAL ENVIRONMENTAL HEALTH DEPARTMENT Vi <br /> 1 1868 East Hazelton Avenue, Stockton, CA 95205-6232 s 3 <br /> y�O F _Plephone: (209)488-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> PEnmi- S€f7i11 ,E3 rn <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lyla Gray-Etherson BUSINESSIAGENCY: Property Solutions Inc <br /> ADDRESS: 323 New Albany Road CITYISTATEIZIP: Moorestown, NJ 08057 <br /> PHONE (1): 856-813-3000 ext245 PHONE(2): FACSIMILE: 856-813-1073 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 lowineas days from dale,or appllcatlon submittal-'Tentative only-must be confirmed) I <br /> © CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street III Street Name _ _ city <br /> 1805 <br /> 1. 1805 East Market StocktonI�j�/ <br /> 2. 1881 East Market Stockton <br /> g, 1519 East Main Stockton <br /> 4. 1617 East Main Stockton Tjj'�rr✓t y D_1rrt .L= <br /> • ----._._ ___._.... __.._�.__..._._...... ... ..... ... CtAp�— LST <br /> 7. <br /> a. <br /> 9. <br /> 10. <br /> Specific Date Range Of Information Requested; From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LGP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ©MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> Q TATTOOIBODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SITES <br /> Q MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-6:00PM(EXCLUDING HOLIDAYS) <br /> 1. Llet up to ten addreasea In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one fila type MUST be selected. `ew to`2091 464-0138 or mall to the address Indicated above. Address <br /> ranges will not be accepted -for additional assistance with file addressee,contact the END. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. 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 /> 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 EFID staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to revlew. <br /> - _Ak E o f t t e_'H y I_) "Z. <br /> • <br /> r <br /> aunt <br /> END 4e-00 <br /> Received Time Jul, 24. 2017 6:41AM No. 1952 <br />