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01/08/2018 1:49PM FAX 3108540199ECE'�T Global Z0001/0001:ANJOAQUINN , tiff n ; t lHealth p rtmen <br /> 1Li: ¢: �Q p 20i8 PUBLIC RECORDS RELEASE APPLICATION <br /> • 3 { ; El1VItZONMFNTALt M II c2 l I <br /> PEIwrr/SEi AGM EHD LOG NUMBER: <br /> APPLICANT: Noli Valera BUSINESS/AGENCY-rFl Global <br /> ADDRESS: 433 Airport Boulevard,Suite 303 CITY/STATE2I P:Burlingame,CA 94010 <br /> PHONE(1): 415.857 6517 PHONE(2): FAX OR E-MAIL: noli vamntQe!ig;rbal.rx;rn <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 im/2015 <br /> 1. List up to ten addresses in the space below. Address ranges W1LL NOF 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 42091 464-0138,mail to the <br /> address indicated below,or email to infoOsicehd.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. <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) I , <br /> E€ectronic Information: W List❑ Map— Description: <br /> Specific Date Range of Information Requested: From Earliest to Present <br /> ENVIRONMENTAL E(L� ADDRESS <br /> HEALTH DEPARTMENT D 5E ONLY <br /> FILES (SDecif�c ac±rr saes only,address ranges will rot he arcepie;i) % <br /> *Underground Tank(UST; I Street 9 I. Street Name city NP <br /> Cloanup Sim(l.OP) ���� ❑uosuvrr, <br /> • S. California St. Stockto <br /> ❑Omer Geanup Sim(Narv�LOP) <br /> IN Hazardous Weem <br /> Tiersd Pennitle I Fadidy ] 2847 @ n z Sto (oto P9 ��v/ ❑c'N~ <br /> 0 Abovegm I Tank Heinz i I� 1 <br /> Q UST (Monitoring i Ramwal) �76Hazardous Materiels 9ro 1 /-b p <br /> Q Spill 1 Rrs:eF Response ( I w _ <br /> 170 Solid Wesm Facility f Vehicle 4 ^ 1 AI4R(ItIN OY <br /> ❑Food Facility <br /> ❑Pool JSpa I d'O` /'y� e� .. / .. .__ �' �D6,� �+irc Mntwno+ <br /> ❑Drury <br /> ❑Land use A.pplicaxn Sims <br /> ❑Suplic Pum{xn 7Aa::k/ ("'� 1 re..t- fL+ �'t(�.� /)G �.r`� E]HOMING <br /> B / J I I <br /> Yard/Mamit al Tollate <br /> ❑Waste"ter Treaonerx Plant .UFA <br /> ❑Housing ALsmment Asr i HM I/ <br /> ❑MotmWo!ei <br /> In cte;:kan Rarv;n J Dug Kwoui 9I f f� 1 Ir-re-' <br /> ❑Medical Waste Facility ` UST <br /> ❑TatloolFiody Pierong I I oouo wnsrs <br /> Tars B <br /> Csrnplain: <br /> ❑Other(Please Specify): ❑A-c u.1m; <br /> to <br /> —BOXED AREA-EHD USE ONLY— <br /> Alm rte rec,-+ r m e e <br /> J. <br /> Records Erovided by Staff-PPR Com late, EHD43-06 <br /> �!saa 1: c t--C:.A.... r-.,rfC., nc='i� T 2f7i3:1.fj8-34 �E 9 Rs.,.F-01 8 , <br /> Received Time Jan, 8. 2018 1 , 35PM No. 2850 �� k r z0. .e c+ ( r see: ,Cclrl <br />