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DATE RECEIVED 4/10/2009 8:45 AN a 209.579.2225 ATC ATC Associates TO: 454-01 <br /> AGE: 002 OF 002 SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT / <br /> 600 East Main Street,Stockton, CA 95202-3029 f/(/, <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web: www.sjgov.0r /eh <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D. Sonke (mike sonke(d).atcassociates com) BUSINESS/AGENCY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201_ city/Stale/Zip Modesto CA <br /> PHONE(1): j2Q9L57SL2221 -office PHONE(2): (209)356-5018- cell FACSIMILE: (209)579-2225 <br /> TENTATIVE"APPOINTMENT DATE: Please call soweCan settheagr)t Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$/,U1�u05 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ( bQlfltlr0�/ Qy, r DATE 8nril 10. 2009 <br /> Electroniclnformation: X❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 1• 3138 E. Main St. Stockton 6y� y.� y ❑ unit 1 <br /> 2. 819 Hunter St. Stockton Oi S S/'."n /'t. , ❑ unI <br /> {�1✓ 3. 2040 Washington St. Stockton L <br /> v 4. 1214 Washington St. Stockton °PL 5 unit 3 <br /> p�7a <br /> 5. Stockton <br /> 3032 EI Dorado St. u <br /> 6. 423 N. Madison St. Stockton (LDL) , LO( nit 4 <br /> 7. 6250 indbergh St. Stockton <br /> 6• 2005 Navy DrStock on nd H - l y ❑ Unit 5 <br /> S. 3025 Navy Dr. Stockton ocn <br /> ❑ Unit 6 <br /> 10. 2403 Navv Dr. Stockton to 7(aZJ p <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES ^ �I <br /> Im UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑SOLID WASTE FACILITY(VEHICLE Oto <br /> W OTHER CLEANUP sme(NON-LOP) ❑FOOD FACILITY CI WASTE TIRE <br /> RI UNDERGROUND TANK(MONRORING/REMOVAL)PN 11 DOG KENNEL ❑DAIRY UJ r <br /> IW HAZARDOUS WASTE GENERATORa ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL O PUMPER TRUCKIYARD/CHEM TOILETS <br /> ❑TATTOOIBODY PIERCING ❑ POOL/SPA r1i .••..i --^------- --- <br /> MEDICAL WASTE FACILITY 00 OTHER(PLEASE SPECIFY <br /> WELLAND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAYS:OO AM-5:00PM - 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(209)464-0138 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 /> S a0 I ;s gtj� p <br /> EH048-00 8104/08 <br /> PUBLIC RECORDS RELEASE APP FORM <br />