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e 08/02/2018 2:19PM FAX 3108540199 EF1 Global 190001/0001 <br /> RECEIVED <br /> ■ A N .10H UH N Tai . 2018 Environmental Health Department <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ENVIRONMENTAL HEALTH (,� <br /> • " PERMIT/SE BVENAII Z� - 1 <br /> EHD LOG NUMBER: <br /> APPLICANT: Susena Codetto BUSINESS/AGENCY:EFI Global <br /> ADDRESS: 5261 W.Imperial Huy CITY/STATE/ZIP:Los Angeles,CA 90045 <br /> PHONE(1): 310-854-6300 PHONE(2): FAX OR E-MAIL: Sussna.Corlettor@ellglobsi.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 un 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(2081 4840138, mail to the <br /> address indicated below,or email to info(@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. i <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 6:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT (Specific Y 0 p ) EHD USE ONLY <br /> FILES addresses only,address ren es will not be ase ted <br /> ❑x underground Tank(UST) Street S Street Name city <br /> Cleanup Site(LOP) A�7 At"iA ❑COaaerER <br /> • QOther Cleanup Site(Non-LOP) t 2420 W. Grant Line Rd Tracy ii,,wp WPh� <br /> ❑X Hazardous WasteS-T Lop ❑Dour <br /> n Tlered Permitted Facility Y 2353 TO ste Rd Tracy ` ��h(e� <br /> ❑X Abovegmund Tank <br /> ❑X UST (Monitoring/Removai) ❑PWS <br /> 9 <br /> ❑X Hazardous Materials <br /> ❑Spill/Release Response <br /> 19 D. Ia, a.Owum <br /> ❑Solid Waste Faclilry/Vehicle 4 <br /> ❑Food Faculty <br /> ❑Pool/Spa ne Mmwnc* <br /> ❑Dairy 5 <br /> ❑Lard Use Application Bliss <br /> ❑Houswo <br /> ❑Septic Pumper Truck/ a <br /> Yard I Chemical Tollets <br /> ❑Wasleweter Treatment Plant CUPA <br /> ❑Housing Aba@ment T AST/HM/HW <br /> ❑Motel/Hotel <br /> ❑Chicken Ranch/Dog Kennel CUPA <br /> 5 UST <br /> ❑Medical Waste Facility <br /> ❑Tal:WBody Piercing Ll SOL.Ware <br /> ❑Waste Tire a <br /> ❑Complaint <br /> ❑Other(Please Speclry)i ❑Acwuanao <br /> 1D <br /> "'BOXED AREA-END USE ONLY*" <br /> ❑ Records provided by Staff-PPR Complete. stair Hem•: EHD 046 <br /> . 05205 3 T 209 458-3.420 1 F 279 454-C13E <br /> Received Time Aug. 2 2018' 2 : 10PM No. 3954' <br />