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4/10/2009 8:45 Mt 0209.579.2225 ATC ATC Associates TO: 464-01*AGF: 002 OF 002 <br /> DEHD LOG NUMBER <br /> ATE RECEIVED <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street,Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgo f.or 1eh /j <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D Sonke (mike sonke(d)atcassociates corn) BUSINESSIAGENCY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201 _ City/State/zip Modesto CA <br /> PHONE(1): f209)579-2221 -office PHONE(2): (209)356-5018 - cell __FACSIMILE: X2091579-2225 <br /> TENTATIVE"APPOINTMENT DATE: Please call s0 we can set the aopt Time: <br /> (Please allow 10 business days from date of application submittal-`Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � I1t1u A jj&16,:- DATE April 10, 2009 <br /> Electronic Information: X] List❑Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑ Unit 1 <br /> 1. 3138 IE. Main St. Stockton g y <br /> 2, 819 Hunter St. Stockton D S . fti%5 5>/f ❑ um <br /> 1 YV 3, 2040 W.Washington St. Stockton r <br /> 0 4. 1214 W.Washington St. Stockton kyq(OL 1 5 unit 3 <br /> ., <br /> 5. 3032 EI Dorado St. Stockton <br /> 6. 423 N. Madison St. StocktonAI <br /> `1l2 nit J� <br /> 7. 6250 Lindbergh St. Stockton I ❑ unit 5 <br /> 8. 2005 Navy Dr. Stockton ¢ 1 y <br /> S. 3025 Navy Dr. Stockton -_. '1 0 ❑ unu 6 <br /> 10. 2403 Na Dr, Stockton U 7 c2� 0 <br /> Specific Date Range of Information Requested: From Farliest Record _ to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES 1�hltj <br /> RI UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT El SOLID WASTE FACILITYfVEHICLE 01 <br /> W OTHER CLEANUP SITE(NON-LOP) 11FOOD FACILITY 171 WASTE TIRE -\t <br /> 9 UNDERGROUND TANK(MONITORING(REMOVAL)C. , 171 DOG KENNEL 0 DAIRY Um��Ztii t9� <br /> W HAZARDOUS WASTE GENERATOR 171 CHICKEN RANCH 171 WASTEWATER TREATMENT PLANT <br /> TIERED PERMITTED FACILITY 171 MOTELIHOTEL ❑PUMPER TRUCK/YARDICHEM TOILETS <br /> TATTOOIBODY PIERCING DI POOLISPA I — <br /> 171 MEDICAL WASTE FACILITY W OTHER(PLEASE SPECIFY ._ <br /> WELL AND SEPTIC PERMIT RECORDS AREAVAILABLE FOR REVIEW-MONDAY-FRIDAYB:00 AMS: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(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 priorto review. <br /> EHD USE ONLY <br /> V <br /> 5 jWry3lucl , a0 I �s 8 o- <br /> o q <br /> EHD48-06 &04/08 - PUBLIC RECORDS RELEASE APP FORM <br />