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4/10/2009 8:45 AM F IIIIIIIIIIIIL <br /> V 209.579.2225 ATC ATC Associates T0: 464-01 AGF,: 002 OF 002 <br /> DATE RECEIVED EHD LOG NUMBER <br /> 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_SonkeJmike.son keaG atcassociates.COM) —BUSINESS/AGENCY: ATC Associates <br /> ADDRESS: _1117 Lone Palm Ave. Suite 201 City/State/zip Modesto CA <br /> PHONE(1): (209L579-2221 -office PHONE(z):0209)356-5018- cell FACSIMILE: (20j 579-2225 <br /> TENTATIVE"APPOINTMENT DATE: Please call s0 we can Set the at) t 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 (, (61L(n[ j (AL DATE April 10, 2009 <br /> Electronic Information: E List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ! ❑ Unit 1 <br /> 1. 3138 E. Main St. Stockton r'—T 'i� .o w lle <br /> 2, 819 Hunter St. StocktonW I �'� ❑ unit <br /> 3. 2040 W.Washington St. Stockton <br /> 4• 1214 .Washington St. Stockton )(° , unit 3 t, <br /> � Win.. Al <br /> 5. 3032 EI Dorado St. Stockton A16 CO <br /> POO&it 4 <br /> 6. 423 N. Madison St. Stockton <br /> -- - <br /> <. 1 <br /> 7. 6250 Lindbergh St. Stockton <br /> g � ' �-- ❑ Unit 5 <br /> 8. 2005 Navy Dr. Stockton <br /> L <br /> 3025 Navy Dr. StocktonElunit s <br /> 2403 Na Dr. Stockton I{ � p { ,a✓E <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 FACILITYIVEHICLE <br /> X OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> 9 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> DO 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 n I "-- <br /> ❑MEDICAL WASTE FACILITY M OTHER(PLEASE SPECIFY -WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW-MONDAY-FRIDAY 8:00 AM-5:OOPM - 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 /> i <br /> 1 qq 5j a© 1S i'j V d� 1Of <br /> EHD 48-06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />