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4/10/2009 8:45 AN Fe 209.579.2225 ATC ATC Associates TO: 464-D10AGE: I .. <br /> DATE RECEIVED EHD LOG NUMBER <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT / �� <br /> 600 East Main Street,Stockton, CA 95202-3029 4ory/C/if <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgoveh <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Michael D Sonke (mike.sonkek0atcassociates.com) BUSINESSIAGENCY: ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave. Suite 201 CilylState0p Modesto CA <br /> PHONE(1): (209)579-2221 -office PHONE(2): (209)356-5018- Cell __FACSIMILE: 20( 9)579=2225 <br /> TENTATIVE"APPOINTMENT DATE: Please Call so 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-�� ,U <br /> $n11v0.5 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT �, [9Ujdr,3Y1�n DATE April 10. 2009 <br /> Electronic Information: X❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> Unit 1 <br /> 1, 3138 E. Main St. Stockton y�aa)./vii 6 ❑ <br /> 2, 819 HunterSt. Stockton 9 T • ❑ Unit <br /> 1 YV 3. 2040 N.Washington St. Stockton h�y <br /> 0 4. 1214 N.Washington St. Stockton -T pt 5 Unit 3 �V <br /> .✓`4•., \ <br /> 5. 3032 EI Dorado St. Stockton e,Ate rrr--uurr!!! <br /> 6. 423 N. Madison St. Stockton 0 , Loi '' hie '0 i <br /> 7. 6250 Lindbergh St. Stockton ❑ unit 5 <br /> ;d I <br /> 8. 2005 Navy Dr. Stockton r 117 <br /> S. 3025 Navy Dr. Stockton ;< i ° ❑ Unit 6 <br /> 10. 2403 Navy Dr Stockton <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) 0 HOUSING ABATEMENT 13 SOLID WASTE FACILITYNEHICLE <br /> W OTHER CLEANUP SITE(NON-LOP) 11FOOD FACILITY ElWASTE TIRE <br /> W UNDERGROUND TANK(MONITORINGIREMOVAL)C7-, 71 DOG KENNEL 0DAIRY <br /> W HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH M WASTEWATER TREATMENT PLANT �( <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKIYARDICHEM TOILETS <br /> ❑TATTOO/BODY PIERCING ❑ POOLISPA "'- --- -- <br /> MEDICAL WASTE FACILITY X OTHER(PLEASE SPECIFY - <br /> WELL AND SEPTICPERMITRECORDSAREAVAILABLEFOR REVIEW-MONDAY-FRIDAY8:00 AM-5:00PM - 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(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 /> EHD48-06 8104/08 PUBLIC RECORDS RELEASE APP FORM <br />