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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DE VRIES
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12145
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2300 - Underground Storage Tank Program
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PR0508337
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
7/6/2020 4:40:50 PM
Creation date
11/4/2018 3:00:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0508337
PE
2361
FACILITY_ID
FA0008040
FACILITY_NAME
SAN JOAQUIN AIR
STREET_NUMBER
12145
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
952429541
APN
05518005
CURRENT_STATUS
02
SITE_LOCATION
12145 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DE VRIES\12145\PR0508337\COMPLIANCE INFO.PDF
Tags
EHD - Public
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v <br /> Z 178 079 790 <br /> us Postal Service <br /> Receipt for Certified Mail <br /> No Insurance Coverage Provided. <br /> Do not use for International Mail See reverse <br /> Sem to <br /> KIN <br /> S`"a2rt[`"" N DEVRIES RD <br /> Post M,13tate,14411P GbW ZA4 Z—9 d <br /> Piga is <br /> Certified Fee <br /> V ' <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> co Return Receipt Showing to <br /> Whom&Date Delivered <br /> n Return Receytshewq to whom. <br /> Date,&Addresses'S M6ess <br /> TOTAL Postage 8 Fees $ <br /> co <br /> i7J Postmark or Date <br /> 9 <br /> 0 <br /> LL <br /> a <br /> SENDER: <br /> ,v_ -Complete items 1 and-or 2 for additional eeMcee. I also wish to receive the <br /> w -Complete items 3,4a,and 4b. following services(for an <br /> m •Print your name and address on the reverse of this form w that we can return this extra fee): <br /> card to you. <br /> d •Attach this form to the from of the mailpiece,or on the back if space does not 1. El Addressee's Address •Z <br /> Pe <br /> y •Wme'Retum Receipt Requesfed'on the mailpiece below the article number. 2. ❑ Restricted Delivery y <br /> $ •The Return Receipt will show to whom the article was delivered and the date <br /> ii delivered. Consult postmaster for fee. <br /> 3.Article Addressed to: 4Article Number ¢ <br /> KINGDON AIR STRIP -) J o Gj 7�v E <br /> 12145 N DEVRIES RD 4b.Service Type f <br /> LODI CA 95242-9541 ❑ Registered E7-Certified Im <br /> ❑ Express Mail ❑ Insured c <br /> a <br /> ¢ ❑ Return Receipt for Merchandise ❑ COD � <br /> 0 7. Date of Delivery <br /> a o <br /> cc T <br /> z 5. Received By: (Print Name) B.Addressee's Address(Only if requested <br /> W and fee is paid) <br /> g 6.Signatu ti: ddr as or Agent)i <br /> 0 X 7/ %:� <br /> PS K6,11 311111, December 1994` 102595-97-B-0179 Domestic Return Receipt <br />
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