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4!1A1'7 9.579.2225 A.T7 ATC Associates TO: 464-0' .F.: 007 CF OC'' <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 Sonke_(mike.sonk @,gtcassociates COM)--BUSINESS/AGENCY: ATC Associates <br /> ADDRESS: _1117 Lone Palm Ave. Suite 201 _ City/State/zip Modesto CA <br /> PHONE(1): L1579-2221=office PHONE(2): (^209L356-5018 - cell ____FACSIMILE: LQJ9 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-$105 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> �/1,,, <br /> SIGNATURE OF APPLICANT _ �, ry1,i1°btLcAX u�y,Lt DATE April 10, 2009 <br /> Electronic Information: Q List❑ Map-Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City <br /> 3138 E. Main St Stockton �- ❑ Unit 1 <br /> 2. 819 Hunter St - - -- - Stockton- }{W ICS° ':-; 7 � ,T ❑ unit <br /> 3. 2040 W. Washington St. Stockton Z �� <br /> - -- — G-��. Unit 3 -� <br /> 4. 1214 W.Washington St Stockton U,+ <br /> IX <br /> 5. 3032 EI Dorado St. Stockton _ CO <br /> 6. 423 N. Madison St. Stockton y� z)' �A�yPhl� �nit4 <br /> 7. 6250 Lindbergh St. Stockton _Y <br /> g } - _ ❑ Unit 5 <br /> 8• Navy Dr. Stockton L2015 <br /> 3025 Navy Dr. Stockton - '' ' n ❑ Unit 6 <br /> 2403 Navy Dr. Stockton ` <br /> Specific Date Range of Information Requested: From Earliest Record to Present <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> M UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑ HOUSING ABATEMENT ❑SOLID WASTE FACILITY/VEHICLE <br /> IRI OTHER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE t\ <br /> 9 UNDERGROUND TANK(MONITORING/REMOVAL) ❑DOG KENNEL ❑DAIRY <br /> W 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 "-- <br /> ❑MEDICAL WASTE FACILITY W OTHER(PLEASE SPECIFY - <br /> 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 /> �. a <br /> DDIq q 5 ? " 0a0 15 ;s g 0 <br /> EHD 48-06 8/04/08 PUBLIC RECORDS RELEASE APP FORM <br />