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r <br /> 4/10/2009 8:45 AM FA`Vw'.09.5'!22225 ATC ATC Associates T0: 464-013t�� 002 OF 002 <br /> \l'l` EHD LOG NUMBER <br /> DATE RECEIVED 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(cDatcassociates.CoML_BUSINESSIAGENCY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201_ City/State/zip Modesto CA <br /> PHONE(1): (2091579 -offce PHONE(2): (209)356-5018 - Cell FACSIMILE: (209)579-2225 <br /> TENTATIVE`APPOINTMENT DATE: Please Call so we can set the aDOt 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 � j'iill�taa DATE Aoril 10 2009 <br /> Electronic Information: ❑X List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street IN Street Name City <br /> 1. 3138 E. Main St. Stockton g5 Unit t <br /> a <br /> 2, 819 Aunter St. Stockton 3_5�7- Unit 2 <br /> 3, 2040 N.Washington St Stockton <br /> 4. 1214 N.Washington St. Stockton Unit 3 �V <br /> S. 3032 HI Dorado St. Stockton <br /> nit <br /> S. 423 N. Madison St. Stockton 7 <br /> 7. 6250 Lindbergh St. Stockton a Ij UNd 5 <br /> 8. 2005 Navy Dr. Stockton <br /> 8• 3025 Navy Dr. Stockton ❑ UnR 6 <br /> 10. 2403 Navy Dr. Stockton <br /> Specific Date Range of Information Requested: From Farliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> 9 UNDERGROUND TANK(UST)CLEANUP SITE(LOP) 0 HOUSING ABATEMENT 0SOLID WASTE FACILDY/VEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) 13 FOOD FACILITY 0 WASTE TIRE <br /> W UNDERGROUND TANK(MONITORINGIREMOVAL) 0 DOG KENNEL 0 DAIRY <br /> W HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH M WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL O PUMPER TRUCK/YARDICHEM TOILETS <br /> 0 TATTOOIBODY PIERCING 0 POOL/SPA 71 LAND USE APPLICATION SITES <br /> MEDICAL WASTE FACILITY W OTHER(PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR RENEW- MONDAY-FRIDAY 8:00 AM-5:00PM - EXCLUDING HOLIDNTi. <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 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />