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11❑08/11/201a MON 13: 07 FAX 0001/001 <br /> 10❑ t/ '%—d <br /> I ❑ <br /> i❑ <br /> EHD LOG NUMEIE <br /> ❑ 11 : `� �':' <br /> V7, <br /> -el; SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ENVIRO NMENTALHEWLIff <br /> 0:P?,AIT18ERVICES- PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lyla Gray-Etherson BUSINESS/AGENCY: Property Solutions Inc <br /> ADDRESS: 323 New Albany Road CITY/STATE/ZIP: Moorestown,NJ 08057 <br /> PHONE(1): 856-813-3000 ext245 PHONE(2): FACSIMILE: 856-813-1073 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Plaosa allow 10 business days from date of application submittal-•Tentaflva only-must bo confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronlc Information: ❑List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street 0 Street Name City _ Lj Unit 1 <br /> 1. 1403 Country Club Blvd <br /> rl �y Stockton <br /> 2- �, % ft' r)O q, )1_5 ��. ��`) �l(CLj Unit <br /> 3. ! <br /> 4. <br /> 5. Unit 3 <br /> 6. dUnIt4 <br /> 7. - -- <br /> 8. <br /> Unit 5 <br /> 9. <br /> 10. <br /> Unit 8 <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-LOP) ❑FoOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH <br /> ❑ 0 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY <br /> ❑MOTEL/HOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOLISPA <br /> El MEDICAL WASTE FACILITY ❑LAND USE APPLICATION SITES <br /> Q COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE:FOR REVIEW: MONDAY-FRIDAY 6:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses In the space above. Select the type(s)of files from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(2091464-0130 or mail to the address 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 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 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 /> EMD USE ONLY <br /> EHD 48-09 811111 <br /> Received Time Aug. 11, 2014 11 : 04AM No- 6795 <br />