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SON 07/26/2018 3:32PM FAX 3108540199 EFI Global �Ji. 0001/0001 <br /> ■ <br /> IS <br /> IS <br /> now rjijqECE1VED,, <br /> JUL ��'i PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMEN 7ALSP@gW EMAIL -7_Z? <br /> PERMIT/.4FQ4�r^cr- --- EHD LOG NUMBER: <br /> APPLICANT: Susans Corletto BUSINESS/AGENCY:EFI Global <br /> ADDRESS: 5261 W.Imperial Hwy CITY/STATE/ZIP:Los Angeles,CA 90045 <br /> PHONE(1): 310-854-6300 PHONE(2): FAX OR E-MAIL: Susane-Corietto@efiglobal.com <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arranqe an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE /26/18 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the type(s)of files from the <br /> list below by checking the appropriate box(es). At least one file type MUST be selected. Fax to(209)464-0138,mail to the <br /> address indicated below,or email to infof&-sicehd.com. Applications received after 3:00 pm will be processed the next <br /> business day. <br /> 2. For assistance in identifying the nature and content of EHD records,please contact EHD at the number noted below. <br /> 3. 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 /> 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$152 deposit prior to review. 6 <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to p <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT p Y g accepted) E H b U S ONLY <br /> FILES (Specific addresses only,address ranges will not be acce ted <br /> Q Underground Tank(UST)}��� Street# Street Name Troy <br /> Cleanup Site(LOP) p I ear hi tL= Al D ❑CONSUMER <br /> R Other Cleanup Site(Non-LOP) t &9 ell k coll <br /> tfD 8 Q <br /> ❑X Hazardous Waste 1 <br /> g&&��� �g .wr.�;wr", u�T- 2 �fJ oARY t <br /> Q Tiered Permitted Facility 22 .50 p g Tracy n <br /> Q Aboveground Tank a� NV w( <br /> 17 <br /> 0 UST (Monitoring/Removal) �a ❑Pws <br /> (ef6W <br /> RX Hazardous Materials 3 2480 Cavy /vO lC&R Spill/Release Response N <br /> Solid Waste Facility/Vehicle 4 ® ATm Quv_rn <br /> Food Facility <br /> Poor/Spa 50rm MrrcrnoN <br /> Dairy 5 <br /> ❑Land Use Application Sites <br /> ❑Septic Pumper Truck/ 8 E]HOUSNG <br /> Yard/Chemical Toilets <br /> ❑Wastewater Treatment Plant CUPA <br /> ❑Housing Abatement T AST/HM/HW <br /> Motel/Hotel <br /> Chicken Ranch/Dog Kennel CUPA <br /> Medical Waste Facility 9 <br /> UST <br /> ❑Tattoo/Body Piercing <br /> ❑SOLID WASTE <br /> Waste Tire y <br /> Complaint <br /> other(Please Specify): ❑AcCOWTNG <br /> +o <br /> —BOXED AREA-EHD USE ONLY— <br /> —Its. flip <br /> ❑ Records provided by Staff-PPR Complete. Starr Name. EHD 45-Ma <br /> moi,# l`- ..-'Ii-vr A..,afyaa'-N s �;Ft?s<v9:.r? 1"`�lers^.iYn7•�'057 3 T r'0 .C'`s• €' Z�'4-0 s <br /> r�' � 'S��r �..�����v� � � i" 2�1��.-� � �;� � <br /> Received Time Jul. 2(,•201$ 3 : 24PM-No, 3929' <br />