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e. u7/1`j/2o1z WED 14: 55 YAX IQJVVL/UV1 <br />EHD LOG NUMBER <br />l:DATE RECEIVED <br />■ . SAN JOAQUIN COUNTY <br />:EW ENVIRONMENTAL HEALTH DEPARTR NT <br />tio <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 , <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />ovc <br />U <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLICANT: Lyla Gray-Etherson BUSINESSIAGENCY: Property Solutions Inc <br />ADDRESS: 323 New Albany Road CITYISTATEIZIP: Moorestown, N108057 <br />PHONE (1): 856-813-3000 ext245 PHONE (2): FACSIMILE: 856-813-1073 <br />TENTATIVE`APPOINTI,&NT DATE: Time: <br />(Please allow 10 busing`a. days from d to of appllcatlon submittal - *TBntetlVe Only' must he confirmed) <br />❑ CHECK BOX TO EXPEDITE RE ' EST 3125.F - O HECK ONLY) - REQUEST PROCESSED IN 3 BU INE55 DAYS <br />SIGNATURE OF APPLICANT �/UAM DATE Z Z <br />Electronic Information: ❑ Llst ❑ WDescription: <br />ADD SS <br />EHD USE ONLY <br />rl Ale 11 <br />street#"400��i� <br />sty <br />< <br />Unit 2 <br />2. <br />3. <br />I l J <br />Vii` VV -e- <br />ia <br />- Unit 3 <br />4. <br />- �' , <br />5. <br />ti i <br />untag. <br />7. <br />6.VIP <br />2 <br />u � c rV ✓kt7 �'� Ci,�lt : unR6 <br />10. <br />. <br />J ry A _1�u J_ '6 1.1 <br />$pacific Date Range of lnformatiod Requeeted'-1 From ILI )q°'o '' to <br />ENVIRONMENTAL HEAjTA DEPARTMENT FILES <br />® UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACIL m, �NEHICpp <br />® OTHER CLEANUP SITE (NON -LOP) Ll FOOD FACILITY El WASTE TIRE 3 bI I 65710,,r tw I��- <br />® UNDERGROUND TANK(MONHORIRt�IREMOVAL) ❑DOG KENNEL ❑DAIRY V3 —I-2`J—(z <br />HAZARDOUS WASTE GENERATOI'II ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br />❑ TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCKIYARDICHEMICAL TOILETS <br />❑ TATTOOIBODY PIERCING ❑ POOLISPA ❑ LAND USE APPLICATION SITES <br />❑ MEDICAL WASTE FACILITY ❑ COMPLAINT RECORDS ❑ OTHER (PLEASE SPECIFY) <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY•FRIDAY 8:00 AM-9:00PM (EXCLUDING HOLIDAYS) <br />1. List up to len addresses In the space above. Select the types) of files from the list above by checking the appropriate <br />box(es). At least one file type MUST be selected. Fax (2091464-0138 or mall to the afldross 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 be scheduled accordingly. <br />3. A file that Is actively being worked on by EHD staff may not be Immedlately 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. <br />EHD U8E ONLV _ <br />ece'ived Time Jul. 18. 2012 11:56AM No.0590 <br />