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■_.07/24/2017 MON 9: 49 FAX <br /> 5 � n ®001/001 <br /> en <br /> ,*R GEI "y�Eqq�����'"��i SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> I� ENVIRONMENTAL HEALTH DEPARTMENT 26,717 <br /> �Ll fl 7��� Z� 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Ylephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> �''d'VfftONluIE�IIT'AL FfE�� <br /> PERMIT/SErtAuES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Lyla Gray-Etherson BUSINESS/AGENCY:.Property Solutions Inc <br /> ADDRESS: 323 New Albany Road CITY/STATEIZIP: Moorestown, N108057 <br /> PHONE (1): 856-813-3000 ext245 PHONE(2): FACSIMILE: 856-813.1073 <br /> TEIVTAT/VE`APPOINTMENT DATE: Time: <br /> (Please allow 10 bualnusa days llom date or application aubmlttal-•Tentative only-must be confirmed) <br /> ❑ CHECK SOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE VVV/ <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> street# Street Name Clry <br /> 1. 1805 East Market ,. <br /> St ��� C (vyy) T( • <br /> !� 2, 1881 East Market -Stockton <br /> 3. 1519 East Main Stockton <br /> 4. 1617 Gast Main Stockton <br /> 6. yrovldea� R-I1�—Il <br /> T' �t^PA—ml <br /> 8. INK <br /> 9. <br /> 10. <br /> Specific Date Range of Information Roqueatodl From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> ®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> ®UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOIISPA ❑LAND USE APPLICATION SITES <br /> © MEDICAL WASTE FACILITY ❑COMPLAINT RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-S:D0PM(EXCLUDING HOLIDAYS) <br /> 1. List up to tan addresses In the space above. Select the type($)of Mae,from the list above by checking the appropriate <br /> box(es). At least one file type MUST be selected. EWo 1205)464-0138 or mall to the address Indicated above Address <br /> ranges will not be accepted -for additional assistance with file addresses,contact the END. 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. Tile 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 END staff may not be Immediately available for review. A now 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 END staff at the expense of the applicant. <br /> llFuture file reviews by the same applicant may require a$126 deposit prior t�o review, <br /> • /-tet �c1` C�� i�')' O L (rh /- . o E y-51 L.Y.{ LE,— <br /> ruffJ <br /> EHD 46-00 011111 <br /> Received Time Jul. 24, 2017 6:41AM Na, 1952 <br />