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a@10/26/2015 MON 9: 27 FAX ®001/001 <br /> INO DATE RECEIVED EHD LOG NUMBER <br /> [cc ' "at <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue Stockton GA 95205-62;2 6� <br /> OCT Z01 Telephone: (209) 468-3420 Fax: (209) 464,0138 Wets: wwVv,sjgov.org/ehd <br /> ENVIRONMENTAL Eifel THl <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPUCATION <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 PRONE (2): FACSIMILE: 856-813-1073 <br /> TENTATIVE'APPOINTMENT DATE: Tlme: <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> [] CHECK BOX TO EXPEDITE REQU T-$125 FE SH R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE 10 '?(o 20 <br /> �iC4Cr�tnICiLLGC(lCrCCCD��C2tC. ❑ �i�r, eL'fFF!—�attsc.ri��Batro. <br /> FILE ADDRESS EHD USE ONLY <br /> 1 Street# Street Name City 171 unit 1 <br /> L 1, 2301 Louise Avenue Manteca <br /> 2, 2403 Louise Avenue Manteca t� R' ���,li G� (fit (�(k^ Unit 2 <br /> 3. <br /> 4. <br /> 6. ( 'J-(� nit4 <br /> 7. <br /> 8. <br /> 9. <br /> 40. <br /> ❑ Unit fi <br /> Specific Data Range of Information Requested: 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(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEUHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOO/BODY 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-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(e6), At least one file type MUST be selected. Fax to (209)464-0138 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 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 /> 1.?-v'ar�- 0 v G w+ kz::-� LOC 't4o Lo%41 -J�I(e 4t,,r IL1,7 WA/' r— VILIe'- <br /> EHD 48-06 <br /> Received Time Oct. 26. 2015 6: 25AM Nilo, 9881 <br />