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-- 4/1/2009 8:38 AM F-.: 209.579.2225 ATC ATC Associates TO: 464-017 PAGE: 002 OF 002 <br /> IF,DD <br /> AN JOAQUIN COUNTY EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> A;%? $ 2009 600 East Main Street,Stockton,CA 95202-3029 <br /> ¢ Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov. d <br /> ENVIROWJEN r HEALTH ' <br /> PERMi1/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D. Sonke (mike sonke(U7atcagagciates Com) BUSINESS/AGENCY: ATC Associates <br /> ADDRESS: 1117 Lone PalmAve Suite 201 Clty/State/zip Modesto CA <br /> PHONE(11): _1209)579-2221 -office PHONE(2): (209)356-5018- cell FACSIMILE: (209)579-2225 <br /> TENTATIVE"APPOINTMENT DATE:Friday. rll 10 2009 <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be c a m <br /> y- be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT ��lll+��l SoL'I''e DATE <br /> -Wil 1. 2009 <br /> Electronic Information: ®List[]Map—Description: <br /> FILE ADDRESS777__USEHD_70ONLY <br /> Street# Street Name City <br /> 1. 10848 pperopolis Rd. Stockton S Unit 1 <br /> 2. 7777 . Eleventh Tracy <br /> 5 ❑ Unit 2 <br /> 3. 315 leventh Tracy 3- <br /> 4. U <br /> 5. <br /> 6. grum 4. <br /> 7. <br /> 8 ❑ Unit 5 <br /> 9. <br /> 10. ❑ Unit 6 <br /> Specific Date Range of Information Requested:From Earliest Record to present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> DO UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HousING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> DO OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY 13 WASTE TIRE <br /> IID UNDERGROUND TANK(MONITORING(REMOVAL) -t7 OG KENNEL O DAIRY <br /> W HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> 0 TIMED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> 0 TATTOo/BODY PIERCMO 13 POOL/SPA O LAND USE APPLICATION SITES <br /> 13 MEDICAL WASTE FACILITY M OTHER(PLEASE SPEcIFY)Retail Market Files-For 10848 Copperonolis only <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 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 prior to review. <br /> EHD USE ONLY <br /> EHD48-0W 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />