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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545726
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
6/3/2020 1:50:07 PM
Creation date
6/3/2020 1:46:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545726
PE
3528
FACILITY_ID
FA0025895
FACILITY_NAME
QUARESMA PROPERTY
STREET_NUMBER
91
STREET_NAME
THOMSEN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
91 THOMSEN RD
QC Status
Approved
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LSauers
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EHD - Public
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or1Z/U7/ZU17 1Z: 57YM PAA 31U854UI99 EFI Global 100001/0001 <br /> :■■1■. _ <br /> �ECEIVM <br /> e vironmental Health Department <br /> PUBLIC RECORDS RELEASE AP LIGATION <br /> F :. i � . DEC o ; 201r 7�3 <br /> • EdY1JiRONMENTALHEr�AtM-1 �6EHD LOG NUMBER: ` %1 <br /> bcma�rrMRt3i6E3 <br /> APPLICANT: Heather Nilson BUSINESSiAGENCY:EFi GiNbai <br /> ADDRESS: 5261 west Imperial Highway CITY,STATEIZIP:Les Angeles,CA 90045 <br /> PHONE(1): 310 85413,'CO PHONE(2): FAX OR E-MAIL: Hea!har nblsonCderlig!abai.cem <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 ^xed^y', ?e,Fg;; DATE 171717017 <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(2091464-0138, mail to the <br /> address indicated below,or email to info&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. -1 <br /> Future file reviews by the same applicant may require a$152 deposit prior to review. L <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5;OOPM(EXCLUDING HOLIDAYS) <br /> E€ectronic Information: E. List ❑ Map— Description; <br /> Specific Date Range of Inform at 3h RCUCsttd: From to <br /> ENVIRONMENTAL FILE ADDRESS <br /> HEALTH DEPARTMENT EHUSE <br /> FILES (Spa.^.ifc addresses only,address ranges will not be accepted) 66..x/D t3ONLY <br /> (I]Underground Tank(UST) Street T! j Street Name City <br /> Cl:.arwp Site 0.OP) !p ❑G01",LMa <br /> • 1�l'•�ar�1aa.^.np Site(Non LOP) <br /> 15688 South Harlan Road LathropIo1 <br /> ®Hazardous Wasta (� on,x <br /> [:]Aimed mond To Faciiky 91 ` East Thomsen Road L th ro <br /> ❑,Abovegnmrt!Tarn: <br /> Q UST (Monitoring 1 Ramwal) tyy� E]pws <br /> I <br /> F�. Hazardona f,Ratnria!a 3 15600 South Harlan Road Lathro or <br /> i <br /> ❑S!:ill/Rr:keaec R.es;;oese ter,€ <br /> ❑Solid waste Facility 1 vehicle j 4 l'Iw l� pp�����Ja1Ee r1•ru rrT <br /> I rlr ' t <br /> 17 Food Fz_tiliC; i <br /> ❑Pool l Spa ❑sn'!s>7l ieanna <br /> ❑Oey s <br /> Land U.A.pdic to.Shes <br /> ❑Sapl'e:Pwn urT mch: Huaenaa <br /> !'r 5 <br /> Yard i Chinni;aal Toilets <br /> Wasta'water Treatment Plant A1PA <br /> ❑Housing Afiafament A;il:Hkl Hit <br /> ❑Moo.0 lulel <br /> ❑Ctu;:kerr Ranch,nog Kennel .UPA <br /> E <br /> ❑Medical Waste,'-adlity I <br /> ❑Tattow'Ba' e y Pisecr1" <br /> El"one NLtar' <br /> ❑waste m g <br /> ❑Complaint <br /> ❑ <br /> Other(PJ Aecwr:nen <br /> 50 <br /> I <br /> ""`BOXED AREA-EHO USE ONLY" <br /> • 2 -i -(,, A 1 :nc� 4 AeLAi7t �i (e <br /> C Records erovided by Staff-PPR Complete. start Name aro 43.05 <br /> T 1("111158 4 j' F <br /> Received Ii metDec 7. -2017 1244PMf`No, 269"0� `0` °" r `z` <br />
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