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SITE INFORMATION AND CORRESPONDENCE FILE 3
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3500 - Local Oversight Program
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PR0544595
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/24/2019 10:55:23 AM
Creation date
6/24/2019 10:04:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0544595
PE
3528
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (Shell) 68221(WRR 6290)
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
02
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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SEA&: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complet�items 1,2,and 3.Also complete A Sign �> .�3`ptgent <br /> item 4#rRestdcted Delivery is desired. X '_ a <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so than:we can return t to you. B.'Recelved b (Print C. Date of Delivery <br /> i Attach't iF i d$�ie of the mailpiece, w��, ?�' <br /> or on the front i -space permits. r t <br /> D. Is delivery address different from item 1? 0 Yes <br /> 1. Ptcle Addressed to: If YES,enter delivery address below: [3 No <br /> EXXON MOBILE <br /> AWN JENNIFER SEDLACHEK <br /> 4096 PIEDMONT AVENUE #194 3. ice Type <br /> M <br /> rtified all ❑Express Mail <br /> OAKLAND CA 94611 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mall 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2 :Ie Number 7004 2510 0004 5876 8429 <br /> `transfer from sem <br /> PS Form 3811,February 2004 Domestic Return Receipt <br />
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