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v0a10/26/2015 KON 9: 27 FAX 0001/001 <br /> X, <br /> RECEIVED EHO LOG NUMBER <br /> ®� SAN JOAQUIN COUNTY <br /> ®� RECEIVED ENVIRONMENTAL HEALTH DEPARTMENT <br /> OCT2015 1868 East Hazelton Avenue, Stockton, CA 96205-6232 <br /> 16 elephone: (209) 468-3420 Fax: (209) 464-0138 Web: www,sjgov.org/ehd <br /> WIRONMENTALHEALTH <br /> PERMIT/SERVICES 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-`Tentadve only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE RE OU T-$125 FE SH R CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE iO 2(o Zo <br /> Electronic information: ❑ Lt$t LJ MaP—DoSc:iptivi�: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# street Name City ❑ Unit 1 <br /> 1. 2301 Louise Avenue Manteca <br /> 2, 2403 Louise Avenue Manteca El <br /> Unit 2 <br /> 3. <br /> 4 tJ Unh a <br /> 5. <br /> t� <br /> nit4 <br /> �-� YUU ycajfi <br /> a, <br /> 9. <br /> 10. <br /> ❑ Unit B <br /> Specific Date Range of Informatlon 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 /> ®HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEIIHOTEL ❑PUMPER TRUCK/YARD/CHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑POOL/SPA ❑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 un to tan addresses In the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(ee), At least one file type MUST be selected. Fax to(2091464-0138 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 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 application may be <br /> submitted when the fila Is available. <br /> 4. Any file not returned In thesamecondition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the some applicant may require a$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 4046 <br /> Received Time Oct. 26. 2015 6: 25AM No. 9881 <br />