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SITE INFORMATION AND CORRESPONDENCE FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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620
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3500 - Local Oversight Program
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PR0544216
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
3/4/2019 5:53:12 PM
Creation date
3/4/2019 2:07:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544216
PE
3528
FACILITY_ID
FA0003738
FACILITY_NAME
CHARTER WAY SHELL*
STREET_NUMBER
620
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
Stockton
Zip
95206
APN
16504007
CURRENT_STATUS
02
SITE_LOCATION
620 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Page 2 <br /> SITE CODE: 1058124 <br /> SITE NAME: INTERSTATE SHELL <br /> 620 W CHARTER WAY <br /> STOCKTON CA 95206 <br /> RESPONSIBLE PARTY(IES): <br /> SHELL OIL CO C/O EQUILON ENC L <br /> KAREN PETRYNA <br /> P O BOX 6249 <br /> CARSON CA 90749-6249 <br /> Z 187 935 81,E - <br /> US Postal Service <br /> Receipti for Certified Mail E I also wish to receive the <br /> •Complate items 1 and/or 2 for additional se ' <br /> No Insurance Coverage Provided. �, at, ■Complete Items 3,4a,and 4b. folio services(for an <br /> �-- - -=--�-+�—�• -�t�e�:11_Sn®_rp�ra�eol ■Print your name and address on the rave th w n this eXtr> 291999 <br /> card to you. <br /> { .Attach this forrn to the front of the mailpiece,or on the If not 1.❑ Addressee's Address <br /> KAREN PETRYNA _ t pe�h• <br /> ■Write•Return Receipt Requested"on the mailpiece below�i mbar. 2•❑ Restricted Delivery <br /> SHELL OIL CO C/O EQUILON ENT. LLC ■The Return Receipt will show to whom the article was deliveldtanN`Wedais <br /> P O •BOX 6249 - - <br /> delivered. Consult postmaster for fee. o <br /> 1, 0 3.Article Addressed to: 4 rtic N <br /> CARSON _CA 90749-6249 - _._. r //'� � <br /> ¢ KARFN.- ET—W 3A 6 l(/ , <br /> 4b.Service Type <br /> - f SHELL / EQUILON ENTEPRISE _LIC PR 291999 ❑ Registered JCertifiedP; BOX 6249 m <br /> ❑ Express Mail ❑ Insured c <br /> Special Delivery Fee' CARSON CA 90749-6249 ❑ Return Receipt for Merchandise ❑ COD <br /> LO Restricted Delivery Fee 7.Date of Delivery <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered 5. iv Qjy Name) 8.Addressee's Address(Only if requested Y <br /> Return Receipt Showing to Whom, and fee is paid) c <br /> i <br /> Q Date,&Addressee's Address 6.Signature:( r ssee or Agent) <br /> 0 TOTAL Postage&Fees $ X <br /> cr) P ark or a <br /> tE a PS Form �,Decem r 1994 102595-98-8-0229 DOmeS IC eturn Receipt <br /> ►C�F�J 1 <br /> j <br /> I <br /> i <br />
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