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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0538675
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COMPLIANCE INFO
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Entry Properties
Last modified
7/31/2018 11:59:54 AM
Creation date
7/31/2018 11:28:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0538675
PE
1921
FACILITY_ID
FA0005035
FACILITY_NAME
WALGREENS #2961
STREET_NUMBER
75
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03704423
CURRENT_STATUS
01
SITE_LOCATION
75 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
EJimenez
Tags
EHD - Public
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Er <br />Domestic <br />ru <br />�• <br />co <br />un <br />C <br />CertHletl Mail Fee -- <br />ee <br />$ <br />IL 113 �� <br />,J] <br />E,dra services B Fees tcneck ow, emtwmepprsai <br />/1- <br />C3 <br />O Relum Receipt malseopvl S <br />ti <br />0 <br />O Resurn Receipt (elecwnlo) 6 <br />Poelmark <br />C3 <br />❑CedaletlMWIRwtricte Denny $ <br />HM <br />C3 <br />OAdull sig,ature Requires S <br />❑noun signature Reeaktea ori ,y$ <br />CL11 (,RUC.✓' <br />C3os <br />Page <br />dahed LV I I2118 <br />ti <br />Total Po: WALGREENS #2961 <br />$ 3E COMPANY/ WALGREENS <br />rr=l <br />_ <br />sentro VERISK 3E REGULATORY DEPARTMENT <br />r' <br />S eeieJ 3207 GREY HAWK COURT STE <br />200 <br />CARLSBAD CA 92010 <br />-----" <br />RE:PR0538675 RTN: 1L <br />■ Complete items 1, 2, and 3. A. Snature <br />■ Print your name and address on the reverse Agent so that we can return the card to you. X ent see <br />■ Attach this card to the back of the mailpiece, a b1 C. Date of Delivery <br />or on the front if space permits. <br />1. Article Addressed to: lad ivery add different 1 Y <br />/Ily' S, enter delivery rid sr a.& ❑ C t <br />"WALGREE;tS #2961 f`i_ - t U` <br />3E COMPANY/ WALGREENS <br />VERISK 3E REGULATORY DEPARTMENT <br />3207 GREY H,W/K COURT STE 200 <br />CARLSBAD CA 92010 pro F L_ <br />RE:PR0538675 RTN:1L D� '� ❑ Priority Mail Express® <br />IIIIIIIII IIII111111II I I II III I III IIIIII IIIII III "j �tricted Delivery o Regis e Mal R�,r;c,ed <br />ult Igo urs <br />9590 9402 3741 7335 6402 07 Certified Mail® Delivery <br />Ified Mail Restricted Delivery ❑ Return Receipt for <br />❑ Collect on Delivery Mercfian, iso <br />2. Article Number (transfer from service fa6eq ❑ collect on Delivery Restricted Delivery ❑ Signature Confirmatlon* <br />7017 2420 0000 6058 2798 _ "Mail ❑signature confirmation <br />Mail Restricted Delivery Restricted Delivery <br />]0) <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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