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Mile 08/02/2018 2: 1911111 FAX 31.08540199 EFl Global 100001/0001 <br /> I•. RECEIVED <br /> aAN 1j N A.1ju- 0 7 2018nvilr. t"€rnanlA NeWt `s Department <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> TALHEAIIH <br /> • PERMITICEr"Ab' Ott BY EMAIL �� <br /> EHD LOG NUMBER: <br /> APPLICANT: Sussna Codetto BUSINESS/AGENCY:EFi Global <br /> ADDRESS: 5281 W.Imperial Fiery CITY/STATE/ZIP:Los Angeles,CA 90045 <br /> PHONE(1): 310-854-630D PHONE(2): FAX OR E-MAIL: Susana-Corlego@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 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 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(209)4640138,mail to the <br /> address indicated below,or email to info(rDsicehd.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:OOPM(EXCLUDING HOLIDAYS) <br /> Electronic Information: ❑ List ❑ Map—Description: <br /> Specific Date Range of Information Requested: From to <br /> ENVIRONMENTAL afiFILE ADDRESS <br /> HEALTH DEPARTMENT ( � . y 9 p ) EHD USE ONLY <br /> FILES S c addresses only,address ren es will not be arca ted <br /> ❑x uMergmund Tank(UST) Sheet# Street Name City <br /> Cleanup Site(LOP) 1 �ygcT0 W. Grant Line Rd Tracy "t`�lt Li:(� `-^'r hO ❑ <br /> • ❑X <br /> Other Cleanup Site(Nor-LOP) GYGV <br /> Q Hazardous Waste /� r'�/� // OMRY <br /> n Tiered Permitted FacIIIN 2 353 Torte Fid Tracy o�S\1LC°`� ��r(✓, � <br /> Q Aboveground Tank i r <br /> Q UST (hbnitodng/Removal) ❑PWS <br /> 9 <br /> 0 Hazardous Materials <br /> Spill/Release Response A pppp,, <br /> V U U Aren Ouum <br /> ❑Solid Waste Facility/Vehicle s � r� <br /> ❑Food Facility v`I� <br /> ❑Pool/Spa Sire MnicAnoN <br /> ❑Dalry 5 <br /> ❑Land Use Application Sits <br /> ❑Septic Pumper Truck/ ❑Housxc <br /> 8 <br /> Yard I Chemical Totes <br /> ❑Wastewater Treatment Plant CUPA <br /> ❑ Housing Abatement AST I HM I HW <br /> voteltirl <br /> ❑Chicken Ranch/Dag Kennel CUPA <br /> a UST <br /> ❑Medical Waste Facility <br /> ❑Ta000/Sody Plerdng Scuo Wesm <br /> ❑Waste The 9 <br /> ❑Complaint <br /> ❑Other(Please Specify). ❑q UNTWG <br /> 10 <br /> —BOXED AREA-EHD USE Ol <br /> c 2lie�l nn„ Lec v UM C__ V rw reeer_ ' ( �J1. L <br /> ❑ Records provided by Staff-PPR Complete. stair Name: EHos-0a <br /> Ask t» us, A;..., n„rpr. ; c:r„r<;:<<,,, a ass:., r an;�G5 i T 2C�3 458-3420 1 F 209 454-0138 vrPsxz.sjm1hd.c0m <br /> Received Time Aug. 2. -'2018 2 : 10PM"No, 3954 <br />