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4/1/2009 8:38 PR F '09.579.2225 ATC ATC Assaciate= TO: 464-01- PAGE: 002 OF 002 <br /> �Aa EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> si`i? ZRO� 600 East Main Street, Stockton, CA 95202-3029 2 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov. � .'/) <br /> ENVIKIIN"Nll-fu f;iEALTN <br /> PFR "11T,'SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D. Sonke mikesonket5atcassociates.com) BUSINESS/AGENcY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201 Cllylstate2lp Modesto CA ___ <br /> PHONE(1): (209)579-2221 -office PHONE(2): (209)356-5018- Cell _FACSIMILE: 209 579-2225 <br /> TENTATIVE*APPOINTMENT DATE:Friday. April 10 2009 Time: 10 00 am <br /> (Please allow 10 business days from date of application submittal--Tentative only-must be confirmed) <br /> 13 CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE April 1 2009 <br /> Electronic Informatton: ❑X List❑Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City UnIt 1 <br /> VAl 1. 10848 Copperopois Rd. Stockton y k WIA3 0/5p <br /> p, 7777 W. Eleventh Tracy 5 06-5,No M,j ieOn. <br /> 3. 315 Eleventh Tracy 1 <br /> 4. Unit <br /> 5. <br /> 6 Unit 4 <br /> 7. <br /> $ ❑ Unit 5 <br /> 9. <br /> ❑ Unit fi <br /> 10. <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> W UNDERGROUND TANK(UST)CLEANUP SITE(LOP) y❑HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY 171 WASTE TIRE <br /> W UNDERGROUND TANK(MONITORINyWREMOVAL)d OG KENNEL 13 DAIRY <br /> W HAZARDOUS WASTE GENERATOR`y- O CHICKEN RANCH 17 WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL 17 PUMPER TRUCK/YARD/CHEM TOILETS <br /> 171 TATTOO/BODY PIERCING ❑POOL/SPA ❑LAND USE APPLICATION SITES <br /> 171 MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY)Retail Market Files-For 10848 CODDeroDOIIS OnIV <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -M ONDAY-FRIDAY 0:00 AM-5:00PM - EKCLUDING 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(es). At least one file type MUST be selected. Fax to(2091464-0138 or mail 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$105 deposit prior to review. <br /> vG EHD USE ONLY <br /> nl WZA&e, if a <br /> EHD 48-06 8104108 PUBLIC RECORDS RELEASE APP FORM <br />