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DATE RECEIVED 4/10/2009 8:45 ANI I NWO 709,579.2225 ATC ATC Associates T7 4G4-013;1%0-4 AGE: 002 of 002 <br /> SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 6 <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.comJ_BUSINESSIAGENcY: ATC Associates <br /> ADDRESS: _1117 Lone Palm Ave Suite 201_____ City/State/Zip Modesto CA <br /> PHONE(1): 209L579 2221=office PHONE(2); C209L356-5x18 - cell _FACSIMILE: L209)_579-2225 _ <br /> TENTATIVE*APPOINTMENT DATE: Please call so we Can set the appt Time: <br /> (Please allowl0 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 ril 10 2009 <br /> Electronic Information: pX List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> �. 3138 E. Main St. Stockton unit 1 <br /> 2. 819 Hunter St. _ Stockton 3S �� ❑ unit 2 <br /> 3. 2040 W. Washington St. Stockton <br /> 4. 1214 VV Washington St. StocktonUnit 3 <br /> S. 3032 EI Dorado St_ _ Stockton _'3 r <br /> It <br /> 6. 423 N. Madison St. Stockton 7 <br /> 7. 5250 Lindbergh St. Stockton HE ❑ Unit 5 <br /> 8. 2005 Navy Dr. Stockton <br /> 8 3025 Navy Dr Stockton 4 Q Unit 6 <br /> 10. 2403 Navy Dr. Stockton <br /> Specific Date Range of Information Requested: From Earliest Record _ to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT 0 SOLID WASTE FACILITYIVEHICLE <br /> M OTHER CLEANUP SITE(NON-LOP) ❑F000 FACILITY ❑WASTE TIRE <br /> IX UNDERGROUND TANK(MONITORINGIREMOVAL) M DOG KENNEL ❑DAIRY <br /> M HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATToO1BODY PIERCING ❑POOLISPA ❑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 NOLIDAta. <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. Anew application maybe <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 /> EHD USE ONLY <br /> EHD 48-06 V04108 PUBLIC RECORDS RELEASE APP FORM <br />