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4/10/2009 8:45 AM F 209.1,7).2225 ATC ATC Associates To: 464-01' ?AGE: 002 OF 002 <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN COUNTY ^� <br /> ENVIRONMENTTALAL 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 (mikesonkeaatcassociates.conn) 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)366-5018- Cell _FACSIMILE: (209)579-2225 <br /> TENTATIVE*APPOINTMENT DATE: Please Call s0 we can Set the Boot Time: <br /> (Please allow 10 business days from date of application submittal--Tentative only-must be confirmed) <br /> 73 CHECK BOX TO EXPEDITE REQUEST-$1105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT � fWjL4&Zj DATE April 10. 2009 <br /> Electronic information: X❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City _ <br /> Unit t <br /> 1. 3138 E. Main St. Stockton y l ❑ <br /> 2, 819 unter St. Stockton fl S f y f ❑ Unt <br /> 1 N 1 2040 N. Washington St Stockton - <br /> 0 4. 1214 N.Washington St Stockton U�'9�4L q5fl Unit 3 <br /> S. 3032 El Dorado St. Stockton 1,r�yy���nit4 \ <br /> .. LOf <br /> S. 423 N. Madison St. Stockton -/dt, , <br /> 7. 6250 Lindbergh St. Stockton ❑ Unit 5 <br /> S. 2005 Navy Dr. Stockton N <br /> 8• 3025 Navy Dr. Stockton _`*F rlvowsr ❑ unit 6 <br /> 10. 2403 INavy Dr. Stockton U 7cZ) 0 <br /> Specific Date Range of Information Requested: From Farliest Record to Present / <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> R UNDERGROUND TANK(UST)CLEANUP SITE(LOP} <br /> 71 HOUSING ABATEMENT SOLID WASTE FACILnYNEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) 0FOOD FACILITY ❑WASTE TIRE tI/rlt <br /> •UNDERGROUND TANK(MONITORINDIREMOVAL)0�, ❑DOG KENNEL DAIRY V- ,111jy 1 <br /> W HAZARDOUS WASTE GENERATO" ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT "(I <br /> 71 TIERED PERMITTED FACILITY ❑MOTEL/HOTEL 0 PUMPER TRUCK/YARD/CHEM TOILETS <br /> 11 TATTOO/BODY PIERCING ❑ POOL/SPA <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 - EXCLUDINO 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(2091464-0138 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 /> V <br /> s i '9 9 <br /> EHD48-06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />