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11/12/2009 1:58 PM 209.579.2225 ATC ATC Associates TO: 464-S PAGE: 002 OF 002 <br /> blL� ��� EL02)) SAN JOAQUIN COUNTY ` EHD LOG NUMBER <br /> ENVIRONMENTAL HEALTH DEPARTMENT ��� <br /> I IJ 1/ 1 2 2008 600 East Main Strget, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)•464-0138 Web: www.sigov.org/ehd <br /> EPdVRMMSFT ICEt i PUBLIC RECORDS RELEASE APPLICATION <br /> p���lT%S�RVICES <br /> APPLICANT: Michael D_Sonke (mike.sonke(d)atcassociates.corn) 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: (209)579-2225 <br /> TENTATIVE"APPOINTMENT DATE: Thursday, November 27, 2008 Time: 10'00 am <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPEDITE REQUEST-$1105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT 1f�1(ttlw j&-Lt DATE November 12. 2008 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 1. 601 E. Main St. Stockton '05a7 — A70 C,D, ❑ Unit 1 <br /> 3. ❑ Unit 2 \` <br /> 4 Unit 3 <br /> 5. <br /> Unit 4 <br /> 6. <br /> 7. <br /> ❑ Unit 5 <br /> 8. <br /> 9. <br /> ❑ Unit 6 <br /> 10. <br /> Specific Date Range of Information Requested:From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 9 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) 0 FOOD FACILITY EI WASTE TIRE <br /> N UNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> M HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER T4EATMENT PLANT <br /> rl TIERED PERMrfIED FACILITY 171 MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> 171 TATTOO/BODY PIERCING 171 POOLISPA ❑LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW -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 if 0) <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 bythe same applicant may require a$105 deposit priorto review. <br /> EHD USE ONLY <br /> EH D 46.06 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />