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0 I07/24/2017 MON 8: 68 FAX 2001/001 <br /> ■ <br /> onR OVER SAN JOAQUIN COUNTY EFIDLOG NUMBER <br /> ■ ENVIRONMENTAL HEALTH DEPARTMENT <br /> )�'I� 2 7QiC 1868 East Hazelton Avenue, Stockton, CA 95205-6232 6 <br /> 137 <br /> *'J'vfR�ONfJI£t+l)'AL H� <br /> lephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov-org/ehd <br /> 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 /> (Please allow 10 business days from date of application submittal-'Tentative only-must be 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 /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street a Street Name City <br /> 1. 1805 East Market Stockton rti/4„-�(' l <br /> 2, 1881 East Market Stockton <br /> 3. 1519 East Main Stockton <br /> 4. 1617 East Main Stockton <br /> S. <br /> 6. <br /> e. <br /> 9 <br /> 10. <br /> Specific Date Range of Information Requestsdi From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑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 TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOUSPA ❑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-5:00PM(EXCLUDING HOLIDAYS) <br /> I. Liat up to ten addresses In the space above. Select the type(s)of flies from the list above by checking the appropriate <br /> box(es). At least one file type MUST be Selected. Pax to(209)464-0798 or mall 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 flies exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of application. The flies will behold 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 le available. <br /> 4. Any file not returned In the same condition as released will be reorganized by END staff at the expense of the appllcant. <br /> Future file reviews by the game applicant may require a $125 deposit prior to review. <br /> eHo ae-oa enn+ <br /> Received Time Jul, 24, 2017 6 .410 No. 1952 <br />