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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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VAL DERVIN
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107
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2200 - Hazardous Waste Program
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PR0505919
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COMPLIANCE INFO
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Entry Properties
Last modified
11/6/2024 12:58:01 PM
Creation date
3/20/2019 10:35:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505919
PE
2220
FACILITY_ID
FA0007083
FACILITY_NAME
B & C PAINTING SOLUTIONS INC
STREET_NUMBER
107
STREET_NAME
VAL DERVIN
STREET_TYPE
PKWY
City
STOCKTON
Zip
95206
APN
19337005
CURRENT_STATUS
01
SITE_LOCATION
107 VAL DERVIN PKWY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2220_PR0505919_107 VAL DERVIN_.tif
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EHD - Public
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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can <br />■ Attach this= to f f e 4l <br />or on the front if <br />1. Article Addrea%ed to: 01 03 O i <br />oCr <br />B&C Painting Solutions, LLC <br />107 Val Dervin Pkwy <br />Stockton, CA 95206 <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />B. by (F4h►I✓trT C1Date9f Dellyery <br />D. Is delivery address different from Item 1? ❑ Yes <br />It-YES.,0r delivery,addre�fi�ow: 13 No <br />�j,r, <br />J.AH 0 J` 2007 <br />3.- `ar�Yi ALTFMaII <br />❑ S�' L�' Rec�lpt for Merchandise <br />❑ insured Mail to C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />j 2. Article Number <br />It (rrwwwft, serwke MW 7003 2260 0003 3185 6624 <br />I PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 1 <br />
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