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R: 07/26/2018 3: 32PM FAX 3108540199 EFI Global R0001/0001 <br /> r' ECEIVE <br /> •� `� r <br /> al Health Department <br /> JUL 2 6 2018 PUBLIC RECORDS RELEASE APPLICATION <br /> f 3^ { l <br /> PFRIvSIT/CFA1-!t EHD LOG NUMBER: ��dd <br /> APPLICANT: Susans Code(to BUSINESS/AGENCY:ER Global <br /> ADDRESS: 5261 W.Imperial F€l CITY/STATE/ZIP:Los Angeles,CA 90045 <br /> PHONE(1): 310-854-6300 PHONE (2): FAX OR E-MAIL: Susana-Corletto@efglobal.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 7/26/18 <br /> 1. List up to ten addresses in the space below. Address ranges WILL NOT be accepted. Select the types)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 infoAsicehd.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 Tile 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-5:011PM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map–Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT I P Y 0 P ) EHD USE ONLY <br /> FILES (Specific addresses only,address ranges will not be accepted) <br /> 0 Underground Tank(UST) Street# Street Name city <br /> Cleanup Site(LOP) p p�G ❑�/ N ry E]cc ou�R <br /> • QII�y Other t Let 1 FOwy Tracy ii <br /> O Hazardous Waste A 'u'p H1� ^ r li/p ❑Dnwr <br /> 0 Tiered Permitted Facility 2 2450 Taste Rd Tracy Nn,, HS t Y [1 r•CJ <br /> ❑x Aboveground Tank ll o�+8lio py-y�s p-y1 Tracy <br /> (ha r,1 <br /> UST Hazardous <br /> uteriring Removal) a 2480 T®ste f d Tracy Iv�1 'v F ❑PWS <br /> ❑X Hazardous Materials L. U <br /> ❑Spill/Release Response <br /> ❑ o`Saild Waste Facility I Vehicle 4 V Ila(lobI s*�Oukm <br /> ❑Food Faculty �{ <br /> ❑Pool/Spa �SRE MRcwna <br /> ❑Dalry 5 <br /> ❑Land Use Apolratkrn Sltes <br /> ❑Septic Pumper Truck/ <br /> a ❑Hous Rc <br /> Yard/Chemical Toilets <br /> ❑Wastemter Treatment Plant ffCUPA <br /> ❑ Housing Abatement T AST/HM I M <br /> ❑ Motel/Hotel / <br /> ❑Chicken Ranch/Dog Kennel E3CUPA <br /> a <br /> ❑Medical Waste Facility UST <br /> ❑Taloc(0ody Plerdng Sam W.s <br /> ❑Waste The g <br /> ❑Complaint <br /> ❑Other(Please Specify)_ ❑AccomTMc <br /> 10 <br /> M <br /> 77��) ll U "'BOXED AREA-EHD USE ONLY" � <br /> • -2 - -6, ` ,1 nn <� L.l.-.t.Y.l. f 't- "1. ) l�:�n <br /> P=P,— <br /> I <br /> ElRecords provided by Staff-PPR Complete, staff Name: EHD/e-oe <br /> 77"n1' <br /> 7"nc t as f.<,1 r�s0r��, ,. 02051 T 209 4,68-3420 1 F 2009 464-0136 1 <br /> Recelved Time Jul, 26. ""2018 3: 24WNo, 3929- <br />