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12/U7/2017 12:57FM NAA 31085€0199 EFI Global <br /> .ti• : �� t�J+`�t_ 100001/0 <br /> 001 <br /> ECE'v" iron c l HealthDepartment <br /> PUBLIC RECORDS RELEASE APC O ; 201LIGATION <br /> G3• ENIIIRO.NMFfYd'AL HFAtFtI <br /> a'oQTA—E— l €'� EH€3 LOG NUMBER: <br /> "s- <br /> APPLICANT: Heather NilsOn BUSINESSIAGENCY:Ene:ocal <br /> ADDRESS: 5261 lNestlmperial Highway CITYISTATEIZIP:Los Angeles,CA 90045 <br /> PHONE(1): 310 6-4 6a00 PHONE(2): FAX OR E-MAIL: Haa!hern lye:::@ee:deb:a.con, <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 P .,i'?l«';: DATE 12n;2017 <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 12091454-0138, mail to the <br /> address indicated below,or email to info!lcvsicehd.cam. 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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> Electronic Infarmation: ❑ List ❑ Map— Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL ( ADDRESS <br /> HEALTH DEPARTMENT g�{� <br /> FILES (Specific addresses Orly,address ranges will not be accepted) EHD USE ONLY <br /> N Under mund Tank(UST) j Street# Street Name city �p <br /> cluitoup Site(tCl .op) ElC"),Ijw,: <br /> E]Other eanup Site(Non-LOP) 1 15688 South Harlan Road Lathrop''�t <br /> • IN Hazardous Waste I []Dn,Av <br /> Tiered Pemmed Facilily ] 91 East Thomsen Road I ath ro 1Ly <br /> Abovegnoo d Tank <br /> '�. UST (Monitoring 1 Removal) l ❑Pres <br /> Q Hazardous Materials 3 15600 South Haran Road Lahrc� "rop <br /> Spill/Release Response ,,I <br /> ❑Solid waste Facility/Vehicle 4 <br /> Foad Facility <br /> Pool i spa o"m <br /> Daig <br /> 5 <br /> E]Land Us Applin4an Sims l <br /> Septic Pump,Tmrk! a ElHow's <br /> Yom!Chemu;m-Ioileb; <br /> wastewater Treaunant Plark ,UFA <br /> Housing Ab Yemen: Ass/HM IHVe <br /> ❑MutxVl?o!el <br /> ❑Chicken Ranch/Dog Kennel URA <br /> 8 <br /> Medical Waste FacilityFacilityUST <br /> Taalocfacdy Piercing I <br /> StIIIG W(S`TE <br /> Wade .Tin: ' y <br /> CM-plaint <br /> ❑Other(Passe Specityl: ❑Acc.x;una:a <br /> 10 <br /> "'BOXED AREA-EHO IISE ONLY.. <br /> G Records provided by Staff-PPR Complete. start Nam.: enoas-ae <br /> ...,....... ..., ri-Ii ,..; TGr'2.69,0, <br /> c12 :44PM No. "11' "`G`D "`` <br /> F '�"°"" (' <br /> Received TimeIec, 7, `2017 <br />