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• <br />• <br />3108540199 1;11 Global <br />RECEIVED <br />`000() <br />S.A.5 >AA6, Y Z N B.'-w'1.0� (�IM0 �`-�ieS�4 �'WN'6.9l3. uBbi �fi <br />s Depar <br />PUBLI RECORDS RELEASE APPLICATION <br />c NVIRONPu'I ALAE <br />AJ1H <br />PERMII7SE .. BY EMAtG $ P/ Y l <br />EHD LOG NUMBER: �A <br />Z*74 <br />APPLICANT: Susana Codetto <br />BUSINESS/AGENCY:EFI Global <br />ADDRESS: 5261 W. Imperial Hwy CITY/STATE/ZIP: Los Angeles, CA 90045 <br />PHONE (1): 310-1354-6300 PHONE (2): FAX OR E-MAIL: 5usena.Ccrletto@efigiobal.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 <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 infoa-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. ( 0 <br />WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY -FRIDAY 8:00 AM-5:00PM (EKCLUDING HOLIDAYS) <br />Electronic information: ❑ List ❑ Map — Description: <br />Specific Date Range of Information Requested: From to <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />I pe , <br />(Specific addresses <br />FILE ADDRESS <br />onlyaddress ran es will not <br />y 9 <br />he acxe ted <br />p ) <br />�C� <br />EHD U E ONLY <br />Q Underground Tank (USTILII <br />Cleanup Site (LOP)CONSUMER <br />QOther Cleanup Site (Non -L P <br />R Hazardous Waste h <br />MX Tiered Permitted Facility <br />Q Aboveground Tank <br />Street 9 <br />Street Name <br />Clty <br />2420 <br />`j� j . Grant Lines d <br />Tracy <br />"O11 <br />i <br />71YV TI'11 <br />06 (CAA09 On fs(3 <br />2 <br />?353 <br />TRd oste <br />ra <br />• <br />' -� <br />• <br />ONRv <br />tr�� QQ <br />O 0 V <br />InPW <br />❑X UST (Monitoring I Removal) <br />Q Hazardous Materials <br />3 <br />❑ Spill I Release Response <br />F] Solid Waste Facility / Vehicle <br />4 <br />j ATIER Ouwnr <br />❑ Food Facility <br />SITE M' GAnON <br />❑ Pool / Spa <br />❑ Dalry <br />5 <br />❑ Land Use Application Sbs <br />8 <br />E] HOUSING <br />Septic Pumper Truck I <br />Yard / Chemical Tollets <br />❑ Wastewater Treatment Plant <br />N/CUPA <br />Housing Abatement <br />T <br />AST/ HM 1 HW <br />Motel/Hotel <br />8 <br />CUPA <br />UST <br />❑ Chicken Ranch I Dog Kennel <br />❑ Medical Wash Facility <br />TattooBody Piercing <br />Waste Tire <br />g <br />SOLID WASTE <br />❑ Complaint <br />10 <br />❑ /cccUNTING <br />❑ Other (Please Specify): <br />—BOXED AREA - EHD USE ONLY— <br />G? C'\ACLk. VM V `a rice q,� eR--(A. <br />ttvv R <br />( . <br />- <br />--C <br />1-1 Records provided b Staff -PPR Comple' e. staff Name: EHo 48.4E <br />Received T m e A ufgar, 2,r r2<0 <br />x1 <br />r8 9r2 1 OyPNf �N o f3 9 4-5205 T 209 x.68-342[) 1 F ,209 464-0-538 <br />rol <br />