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08/02/2018 2:19PM FAX 3108540199 EFI Global 001/0001 <br /> p) <br /> i� �� FICE COPY <br /> Health Departh of <br /> ® PUBLIRECORDS RELEASE APPLICATION <br /> E NVEONME TALRBjTfi_ <br /> PERMIT/ E BY EtilWt t5 <br /> EHD LOG NUMBER: 9q Z14 <br /> APPLICANT: Susana Carietto BUSI NESS/AGENCY:EFI Global <br /> ADDRESS: 5281 W.imperial Hwy CITY/STATE/ZIP:Los Angeles,CA 30045 <br /> PHONE(1): 310-1354-6300 PHONE(2): FAX OR E-MAIL: Susana.Corletto@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 arrange an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT DATE <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 infoO-)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. lo <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map-Description: <br /> Specific Date Range of Information Requested: From to ,n <br /> ENVIRONMENTAL FILE ADDRESS %r u y� �� U✓' -' a <br /> HEALTH DEPARTMENT (Specific y g p ) EHD UtE ONLY <br /> FILES addresses onlyaddress ran es will not be ecce ted <br /> �/, Underground Tank(UST) Street# Street Name City <br /> Cleanup Site(LOP) �^`l �y ^/ or+suuen <br /> �OtherCleanupSite(NonL 1 2420 • Grant Lire Rd Trac f�7�r(�+- uo ul�fAkk <br /> 0Hazardous Waste <br /> �a ,��,I Lc o uly' Quer <br /> n Tiered Permltted Faclllry 2 ?353 Torte d Tracy n' G <br /> Abovegmund Tank <br /> ❑/, UST (Monitoring I Removal) ❑PWS <br /> Q Hazardous Materials 9 <br /> ❑Spill/Release Response <br /> ❑Solid Waste Facility/Vehicle 4 [�Ww Ea QUA V <br /> ❑Food Facility i <br /> ❑Pool I Spa ®SATE MITIGATION <br /> E]Dalry 5 <br /> Land Use Application Sites <br /> Septic Pumper Truck/ E]HOLLS�NG <br /> 6 <br /> Yard/Chemical Toilets <br /> Wastewater Treatment Plant ©CUPA <br /> Housing Abatement 7 AS7/HM I HW <br /> Motel/Hotel <br /> ❑Chicken Ranch I Dog Kennel v CUPA <br /> Medical Waste Facility e UST <br /> ❑Tattoo/Body Piercing SOLID WASTE <br /> ❑Waste Tire g <br /> ❑Complaint <br /> ❑Other(Please Specify): ❑A=UNTWG <br /> 10 <br /> "'BOXED AREA-EHD USE ONLY"' <br /> ,_-�...1�-.C-��l�.e�� l�ftr7:. �.,�s�k UM G- �-�f� �a,v� �ccz°►� •C �'v1'�v��.. V�;�� �"��'-• <br /> in <br /> 0 e #q �' l^M <br /> I CO Hr a2553 <br /> 3w E-` aFa.trre i.S.a:or,rzxx i ;?r>.r.;.:4!Tr> r`:aEi:'vtrvxe:a.02Qxj i T 209 46,'8-3420i F 2,09t 44534-01383 <br /> 3 <br /> Received Time Aug, 2 2018 2. 10PM"No. 3954' I fie ' <br />