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4 /10/2009 8 : 45 AM 000� 209 . 819 . 2225 ATC ATC Associates TO : 444-017**�YAGE: D02 OF 002 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHDLOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT 6 ?5 <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: MiGhael D. SOnk mike. SOnke(CI�atC3SSOClates. 00rn) BUSINESS/AGENCY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201_ city/State/Zip Modesto CA <br /> PHONE (1 ): (209)579 2221 - office PHONE (2): (209) 356-5018 - cell FACSIMILE: (200 579-2225 <br /> TENTATIVE" APPOINTMENT DATE: Please call s0 we can Set the Boot 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 DATE April 10, 2009 <br /> Electronic Information: X❑ List ❑ Map – Description : <br /> FILEADDRESS EHD USE ONLY <br /> Street # Street Name City ❑ Unit 1 <br /> 1 - 3138 E. Main St. Stockton dW5_ <br /> 2- 819 Hunter St. Stockton kAton <br /> �� El Unit 2 <br /> 3, 2040 . Washington St. Stockton <br /> Unit 3 <br /> 4. 1214 . Washington St. Stockton R � <br /> 5, 3032 EI Dorado St. Stockton r <br /> nit <br /> 6. 423 N. Madison St. Stockton <br /> 7, 6250 Lindbergh St Stockton a / []e 11 7 IQ unit 5 <br /> 8, 2005 Navy Dr. Stockton <br /> 9. 3025 Navy Dr. Stockton ❑ units <br /> 10. 2403 Navy Dr. Stockton <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 0 UNDERGROUND TANK (UST) CLEANUP SITE (LOP) ❑ HOUSING ABATEMENT ❑ SOLID WASTE FACILITYIVEHICLE <br /> MOTHER CLEANUP STE (NON-LOP) ❑ FOOD FACILITY ❑ WASTE TIRE <br /> 9 UNDERGROUND TANK (MONITORINWREMOVAL) ❑ DOG KENNEL ❑ DAIRY <br /> W HAZARDOUS WASTE GENERATOR ❑ CHICKEN RANCH ❑ WASTEWATER TREATMENT PLANT <br /> 171 TIERED PERMITTED FACILITY ❑ MOTELIHOTEL ❑ PUMPER TRUCK/YARD/CHEM TOILETS <br /> TATTOO/BODY PIERCING ❑ POOL/SPA ❑ LAND USE APPLICATION SITES <br /> 0 MEDICAL WASTE FACILITY M OTHER (PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR R EVIEW - MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING MOLIGATS. <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 appointmentfor 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 /> 1 <br /> IEHD48.06 8/04108 PUBLIC RECORDS RELEASEAPP FORM <br /> 'I <br />