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4/10/2009 8:45 AN Fa 09.579.2225 ATC ATC Associates TO: 464-0130AGE: 002 OF 002 <br /> DATE RECEIVED SAN JOAQUIN COUNTY EHD LOG NUMBER <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.sonkeaatcassociates.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: Please call s0 we can set the aDDt Time: <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 _ � A?(JIn!,Z1 11)6 L_ DATE April 10. 2009 <br /> Electronic Information: X❑ List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Stree(# Street Name _ Clty ❑ Unit 1 <br /> 1. 3138 E. Main St. Stockton J_q <br /> 2• 819 Hunter St. Stockton -3 5,:z Unit 2 <br /> 3, 2040 W.Washington St. Stockton <br /> 4. 1214 W.Washington St. Stockton unit 3 <br /> S. 3032 EI Dorado St. Stockton <br /> nit <br /> 6. 423 N. Madison St. Stockton 9 7 <br /> 7. 6250 Lindbergh St. Stockton a / Unit 5 <br /> 8. 2005 Navy Dr. Stockton a v;P1 <br /> S. 3025 Navy Dr Stockton aq&e V ❑ UnIt6 <br /> 10. 12403 Navy Dr. Stockton <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> X UNDERGROUND TANK(UST)CLEANUP SUE(LOP) ❑ HOUSING ABATEMENT ❑SOLID WASTE FACILITYIVEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> 9 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL M DAIRY <br /> M HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> IM TIERED PERMITTED FACILITY ❑MOTEL/HOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑POOLISPA ❑LAND USE APPLICATION SUES <br /> MEDICAL WASTE FACILITY X OTHER(PLEASE SPECIFY <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW -M ONDAY-FRIDAY 8:00 AM-5:OOPM - EXCLUDING HOLIGAY>. <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(2091464-0136 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 /> EHD 48-06 8104108 PUBLIC RECORDS RELEASE APP FORM <br />