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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BESSEMER
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1122
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1900 - Hazardous Materials Program
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PR0521001
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COMPLIANCE INFO
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Entry Properties
Last modified
10/12/2018 6:11:51 PM
Creation date
6/8/2018 5:27:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0521001
PE
1921
FACILITY_ID
FA0013659
FACILITY_NAME
AUTO-CHLOR SYSTEM
STREET_NUMBER
1122
STREET_NAME
BESSEMER
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22119028
CURRENT_STATUS
01
SITE_LOCATION
1122 BESSEMER AVE E
P_LOCATION
04
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\B\BESSEMER\1122\PR0521001\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
8/5/2015 5:02:47 PM
QuestysRecordID
2823943
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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■ Complete items 1, 3.Also complete A. gnele c <br /> item 4 if Restricted Delivery is desired. X Ag <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. . Received by(Printed Name) C. livery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. El Yes <br /> D. Is delivery address different from Rem <br /> '- If YES,enter delivery address below: ❑No <br /> ATTN TREVOR AMESTOY <br /> RECEIVED <br /> AUTO-CHLOR SYSTEM <br /> 1122 BESSEMER AVE #E APR - 6 2005 - <br /> MANTECA CA 95336 <br /> 3. S ic7Mai] [3 <br /> MERGF�I GY SERVICES <br /> Cepress ail <br /> ❑ Reeturn Receipt for Merchandise <br /> ❑ Ins .O.D.4. Restria Fes) ❑Yes <br /> 2, Article Number (� � ��(Transferfrom service label) Gf . <br /> 102595-02-M-1540 <br /> PS Form 3811,February 2004 Domestic Return Receipt <br />
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