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/1/2009 8 38 AM - - <br /> -- _- 209.579.2225 ATC ATC:4ssaciates T0: 969-0' PAGE: 002 OF 002 -- <br /> L `�ll�tl� lel SAN JOAQUIN COUNTY EHD LOG NUMBER <br /> a 2009 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone- (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov. d <br /> ENVIROi'�NID,,1 i ,iEA.TH -3.3 <br /> F)FIRI�1 T/SERVICES UBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D_Son —kmike.sonke atcassociateS.com BUSINESS/AGENCY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201___ _ city/state/zip Modesto CA _____ <br /> PHONE(i): _(209579-2221 -office — PHONE(2): (209 356-5018- cell ____FACSIMILE: (209)5799-2225 <br /> TENTATIVE*AP OINTMENT DATE:_Friday, April 10 2009 Time: 10:00 am <br /> (Please allow 0 business days from date of application submittal-'Tentative only-must be confirmed) <br /> CHECK BOX TO EXPE ITE REQUEST-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICAN ny r, `� <br /> `�����'�Ij�'{- DATE April 1. 2009 <br /> Electronic Information: List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 10848 Copperopo is Rd. Stockton �� unit 1 <br /> 5 z No 'ani .acv/sP <br /> 2. 7777 W. Elevent Tracy 5 �z� OG`l,NaL�ti j64/ nl <br /> 3. 315 Eleventh Tracy i0 xe � <br /> 4. Unit <br /> 5. <br /> 6, Unit 4' <br /> 7. <br /> 8 — ❑ Unit 5 <br /> L9. <br /> 10. ❑ Unit 6 <br /> Specific Date Range of Information Requested: From Earliest Recnrd to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANU SITE(LOP) ❑HOUSING ABATEMENT ❑SOLID WASTE FACILITYNEHICLE <br /> RI OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY ❑WASTE TIRE <br /> UNDERGROUND TANK(MONITORING/R MOVAL)� ❑DOG KENNEL ❑DAIRY <br /> Iii HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCK/YARD/CHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑ POOL/SPA ❑LAND USE APPLICATION SITES <br /> ❑MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY)Retail Market Files-For 10848 ColDperopolis only <br /> WELL AND SEPTIC PERMIT PECORDS ARE AVAILABLE FOR REVIEW -MONDAY-FRIDAY 8:00 AM-5:OOPM - EXCLUDING HOLIDAYS. <br /> 1. List up to ten addresses in thspace 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— or additional assistance with file addresses,contactthe EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applic nt if any EHD files exist. An appointment for review will be confirmed approximately ten(10) <br /> days after receipt of applicatio The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordin Ily. <br /> 3. A file that is actively being wot ked on by EHD staff may not be immediately available for review. A new application may be <br /> subm itted when the file is avai able. <br /> 4. Any file not returned in the san ie condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the sam applicant may require a$105 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 8/04/08 <br /> PUBLIC RECORDS RELEASE APP FORM <br />