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DEHD LOG NUMBER <br /> t�tIVED SAN§ JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT (1 <br /> (+ i 600 East Main St. Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br /> MIRONNI)<N'�AL HEALTH <br /> PERMI`FIsERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: Mike Sonke BUSINESS/AGENCY:ATC Associates <br /> ADDRESS: 1117 Lone Palm Ave Suite 201 CITY/STATE/ZIP:-Modesto, CA 95351 <br /> PHONE (1): (209) 579-2221 PHONE (2):(209) 356-5018 FACSIMILE:(209) 579-2225 <br /> TENTATIVE*APPOINTMENT DATE: Friday October 7 Time: 10:00 am <br /> (Please allow 10 business days from date of application submittal-*Tentative only-must be confirmed) <br /> ❑ CHECK BOX TO EXPEDITE EQUW- 26�CA �HECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT JyvJJ���� �/{_, DATE 9/29/2011 <br /> Electronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City ❑Unit 1 <br /> 1. 1575 E.Victor Road,.APN 049-340-38 Lodi,Ca 9.56 � <br /> 2. 1581 E.Victor Road,.APN 049-340.39 Lodi,Ca ❑ Unit 2 <br /> 3. 350 N Guild Ave APN 049.340-36 Lodi,Ca /,1 F iv V1-1 % <br /> 4, <br /> 5. �+ <br /> 6. Unit4 <br /> 7. <br /> 8, ❑ Unit b <br /> 9. <br /> 10. Unit 6 <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> [?TJNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑HOUSING ABATEMENT SOLID WASTE FACILITYNEHICLE <br /> EA-6THER CLEANUP SITE(NON-LOP) ❑FOOD FACILITY ❑WASTE TIRE <br /> EWNDERGROUND TANK(MONITORINGIREMOVAL) ❑DOG KENNEL ❑DAIRY <br /> ['HAZARDOUS WASTE GENERATOR ❑CHICKEN RANCH ❑WASTEWATER TREATMENT PLANT <br /> ❑TIERED PERMITTED FACILITY ❑MOTELIHOTEL ❑PUMPER TRUCKNARDICHEMICAL TOILETS <br /> ❑TATTOOIBODY PIERCING ❑P OLISPA [:]LAND USE APPLICATION SITES <br /> RMEDICAL WASTE FACILITY COMPLAINT RECORDS ❑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$125 deposit prior to review. <br /> EHD USE ONLY <br /> EHD 48-06 811111 <br />