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•�00: '11/2014 MON 13: 07 FAX 0001/001 <br /> I .■� DATR.,��Ivr_n_ CSAN JOAQUIN COUNTY__79VED <br /> ( HP <br /> NU E <br /> ft <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> j. Z�� Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov,org/ehd <br /> �=�!VIFIOWMENTAL HEA..E k <br /> Pt3'-1r,A1T/SERVICES- PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: L la Gray-Ethersn BUSINESS/AGENCY: Property Solutions Inc <br /> ADDRESS: 323 New Alban oad CITY/STATE/ZIP: Moorestown, NJ 08057 <br /> PHONE(1): 856-813-3000 ex 245 PHONE(2): FACSIMILE: 856-813-1073 <br /> TENTATIVE•APPOITMENT DATE: Time: <br /> (Please allow 1(ll uslness days from date of application submittal-'Tantative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDI E 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 it Street Name cityUnit 1 <br /> 1403 Country Club �lvcl r Stockton �t I r� 5, <br /> 2- <br /> El Unit <br /> 3. "'c <br /> 4. � <br /> El Unit 3 <br /> C]Unit A <br /> 7. <br /> 8. El <br /> Unit 5 <br /> 9. <br /> 10. <br /> Unit 6 <br /> Specific Date Range of Information R quested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE, <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE i GD <br /> ®UNDERGROUND TANK(MONITORING/R MOVAL) ❑DOG KENNEL ❑DAIRY 11.,,1;1" <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT l0 <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOOMODY 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-S:OOPM(EXCLUDING HOLIDAYS) <br /> 1. List up to tan addresses In th space above. Select the type(s)of flies from the Hat above by checking the appropriate <br /> box(es). At least one file type MUST be selected. Fax to(209)464-0138 or mail to the address Indicated above. Address <br /> ranges will not be accepted-(or additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm wild be processed thepnext 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 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 applicatlon 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 /> Futurefile lle reviews by the same applicant may roqulre a$125 deposit prior to review, <br /> K14 4)0__1J Idc U�4Ll aL. t / rjjx4 4:22 (i 7Ly,= yP:�'icw C10 Lf� <br /> 51 �<6 tc�,�phrvr�L Ir1s1 P)o Locco 31C) � t eLc,-cA j✓1 V- L,� e, C f�l C�?C�Jly <br /> Gc'�c c o l C N c'1 O-Df <br /> C.L?OL`•3,6 3 (r 7t ! C 3 5 77 Cr t Sl CCY �� 1 t/ <br /> eHoC'0s gzec, J,�P l rvl�'r rrl law �'iIE..C.wr}yL) Glc�b s,/c <br /> Received Time Aug. 11, 2014 11 : 0441 No. 6795 <br />