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01!08/11/2014 HON 13: 15 FAX 0001/001 <br /> O � IV G... EHD LOO NUMBE <br /> SAN .IOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT p <br /> AUG 2414 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone; (209)4.68-3420 Fax: (209)464-0138 Web: www,sigov.org/e <br /> ENv►i3ONMENTAL HEALTrI <br /> �ERIv1iTISERVICES <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): 856-613-3000 ext245 PHONE(2): FACSIMILE: 856-813-1073 <br /> TENTATIVE`APPOINTMENT DATE: Time: <br /> (Ploaso allow 10 business days from date of epplicatlon submittal-•Tanlallve only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSEO IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE <br /> Electronic Information: ❑ List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name City 0 Unit 1 <br /> 11469 E, Hammer Lane Stockton Fu-03. <br /> r(3. <br /> 4 i Unit 3 <br /> 5. <br /> �(, Unil d <br /> 7. <br /> 8, <br /> Unit 5 <br /> 9. <br /> 10. [3Unit 8 <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 FACILITYNEHICLE <br /> ®OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ❑X HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY 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:OOPM(EXCLUDING HOLIDAY6) <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(209)464-0139 or mall to the address Indlcated 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 bualneas 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 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 END 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 some 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 /> EHD USE ONLY <br /> ennl <br /> EHD A"d <br /> Rprpiupd Time Aug. 11. 2014 11 : 12AM No, 6797 <br />