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SITE INFORMATION AND CORRESPONDENCE FILE 3
EnvironmentalHealth
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COUNTRY CLUB
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2900 - Site Mitigation Program
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PR0505513
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/20/2019 4:31:03 PM
Creation date
6/20/2019 3:35:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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-7,-M q o al fr�TX f -y9,Jt e_- ' (�7w•i.�► +_ 0e . o�9C7u w wm 0 w _ 37i9A Oil, Wi 441W.- , <br /> L� Complete items 1,2,and 3.Also complete A. qlgnatyfe 0 C p to item 1,2, W31so complete A. Signat <br /> item 4 If Restricted Delivery is desired. ❑Agentit� i 4 f1r rI't,' Ddesired. ❑Agent <br /> If 1r)tvgLje p7ie 7 'I a cess on the reverse ❑Addressee o Prtityj't(n {���d a(', on the reverse ❑Addressee <br /> !j i an d it1 1 e card to you. so fhatt we can re urn{Cie card to you. <br /> $ ! � Y B. eceived by(P d Nam C. Dat of Delivery y B. Re `ivy(Pryl#ed Name) C. Date of Delivery <br /> t�-cftLct-QU.'zrd L5 tLJback of the mailpiece, l �� (� 6 ❑ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. or on the front if space permits. <br /> D. Is-1!vP---,address differs m item 1? ❑Yes O �O 11 D. Ise v( �d "}.diff,,:n;r�f, a i,�rit 1? ❑Yes <br /> 1. Article Addressed to: -r f*� Z' 0 2011 �' �No 1. Article Addressed to: ",'t) � <br /> t1 U If �v.�+t(r dAIF,�.,�y alJd�:'�s�C;�,: .«».� c7 If��,-~,V61ieey tld6istlaftl.aFO: ❑No <br /> AP? 11 APR 0 6 2011 <br /> Convenience Retailers LLC 2011 Kayo Oil-Company Corporation <br /> PO Box 1539 <br /> c/o ConocoPhillips Company 3 .._, HSA Paso Robles,CA 93447.1539 sAIR", <br /> oMIT/SERVICES <br /> PO Box 59365 ( -Malt- aril1403 Country Club Blvd. ertified Mail ❑Express Mali <br /> Schaumburg,IL 60159 /f7�eglstered �C�Re urn Receipt for Merchandise gistered ❑Return Receipt for Merchandise <br /> 1403 Country Club Blvd—NOR ❑Insured Mail ❑C.O.D. ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7009 3 410 0001 817 6 6041 2 (ranter froicle m labs _ <br /> (Transfer from service label) � >) <br /> 7009 3410 0001 8176 6058 <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595---M-1 540;PS Form 3811,February 2004 Domestic Return Receipt tc2w95-02-M-154c <br /> e •u- �WpWm1 I1S0 Coy7 <br /> ❑ Complete items 1,-,ano,3.Also complete A. Sign ❑ Complete items 1,2,art 3.Qiso complete A natun: <br /> Its 1te; �Iir`Zry is desired. ❑Agent its 14r F Rgs D y / desired. 1:1 Agent <br /> Prt st(o, r' 1d ne af. d Jress on the reverse ❑ ressee ❑ Pr t yl+� �d a{�i �on the reverse ❑Addressee <br /> `... at($6-carr refutnVe card to you. Received by(Printed Name) C. D Delivery so els n t4fe rd to you. B. R slued by(Printe N ) C. ata of D very <br /> or on the front if space permits. // or on the front if space permits. <br /> DrIQ� d[gss different from item 1? ❑Yes D. Is delivery address di re Itr7, Ye <br /> 1. Article Addressed to: for E ted pr 141 w; ❑No 7. Article Addressed to: it 2 C 11 If YES,erRE a ( '���1No <br /> ConocoPhillips Company APR 04 2011 <br /> Attn: Shelby Lathrop Mr.John Skance MAY 0 5 2011 <br /> 76 Broadway BP—ARCO <br /> Sacramento,CA 95818f9VE iTAL HEALTH PO Box 1257 3Aegistered <br /> ice TG IRONMENTAL HEALS% <br /> 1403 Country Club Blvd—NOR CWER1} ess Mail San Ramon,CA 94583 ertified MAID �E$ <br /> ❑Registered ❑Return Receipt for Merchandise ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes Q3 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number !. Article Number <br /> (Transfer from service labeq 7 a a 9 3 410 0001 817 6 6034 (transfer from service label) 7009 3 410 0001 817 6 613 3 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 IS Form.3811,February 2004 Domestic Return Receipt 102595-02-M-1540. <br />
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