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4/10/2009 8:45 AM FF '09.579.2225 ATC ATC Associates TO: 464-013 AGE: 002 OF 002 <br /> DATE RECEIVED EHD LOG NUMBER <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.sjgov.or /eh <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D. Sonke_(mike.sonke atcassociates.com)_BUSINESS/AGENcY: ATC Associates <br /> ADDRESS: _1117 Lone Palm Ave. Suite 201City/State/Zip Modesto CA <br /> PHONE(1): (20579 2221=office PHONE(2): X209)356 5018 cell _ _FACSIMILE: L0 579 2225 <br /> TENTATIVE"APPOINTMENT DATE: Please call so we can Set the aOPt Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> C3 CHECK BOX TO EXPEDITE REQUEST //-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT _ ( /V1,;ljn"' I DATE April 10, 2009 <br /> Electronic Information: X❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 3138 E. Main St. Stockton ❑ Unit 1 <br /> 1. a��J <br /> 2. 819 Hunter St Stockton o2 IX 3Sa �� El Unit 2 <br /> 3. 2040 W.Washington St. Stockton <br /> Unit 3 <br /> 4. 1214 W. Washington St. Stockton C�) <br /> 5. 3032 EI Dorado St. Stockton <br /> — - - ---- - nit <br /> 6. 423 N. Madison St. Stockton 7 <br /> 7. 6250 Lindbergh St. Stockton '.2 <br /> p unit 5 <br /> 8. 2005 Navy Dr. Stockton <br /> 9. 3025 Navy Dr. StocktonI _2q ❑ unit s <br /> 10. 2403 Navy Dr. Stockton <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> IX UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> lye UNDERGROUND TANK(MONITORING/REMOVAL) ❑ DOG KENNEL ❑DAIRY <br /> W HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> 171 TATTOO/BODY PIERCING ❑ POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY W OTHER(PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW- MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIUAr�. <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 /> subm ifted 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 /> EHD USE ONLY <br /> EHD 48.06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />