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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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2800 - Aboveground Petroleum Storage Program
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PR0526379
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COMPLIANCE INFO
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Entry Properties
Last modified
8/5/2019 4:08:52 PM
Creation date
7/8/2019 4:38:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526379
PE
2832
FACILITY_ID
FA0002864
FACILITY_NAME
DAMERON HOSPITAL
STREET_NUMBER
525
Direction
W
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13715304
CURRENT_STATUS
01
SITE_LOCATION
525 W ACACIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Postal <br /> CERTIFIED o RECEIPT <br /> CD Domestic <br /> _n OFF- ICIAL USE <br /> r" Certified Mail Fee <br /> � S <br /> Extra Services&Fees(check box,add fee as appropriate) <br /> ❑ <br /> Return Receipt(hardcopy) $ <br /> '� ❑Return Receipt(electronic) $ —,�--- <br /> 1:3 El Certified <br /> p Certified Mail Restricted Delivery $_rt i 4^t� <br /> T- <br /> 0 ❑Adult Signature Required $ t Here <br /> (1 <br /> El Adult Signature Restricted Delivery$ Y <br /> ED Pnctanw <br /> m ,DAMERON HOSPITAL <br /> PLANT OPERATIONS & MAINTENANCE <br /> 525 W ACACIA ST <br /> STOCKTON CA 95203-2405 <br /> Re: PR0526379 Rtn: CR <br /> ----------------- <br /> SENDER: COMPLETE THIS:., r r rrr�r <br /> SECTION .MPLETE THIS SECTION ON DELIVERY <br /> ■ Comprete 2 4afl"M - KSignaPrint yourTia d address on the reverseentso that we can return the card to you. "` ❑Addressee■ Attach this card to the bacR of the mailpiece, by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. A.r l/1,y <br /> 1. Article Addressed to: D.t�dress different from iteDAMERON HOSPITAL 1ivery.address-below;a■rAp"Wo <br /> PLANT OPERATIONS& MAINTENANCE <br /> (w <br /> 525 W ACACIA ST <br /> STOCKTON CA 95203-2405 II 1► 2019 <br /> Re: PR0526379 Rtn: CR <br /> 3.�� I�I IIII I� �����! IIII�I III ❑ <br /> Adult Signature,- NNi i�T�1I-oPBDritepedM Mail- <br /> 0 <br /> Registered MaiITM <br /> ❑Adult Signature R�s4r6 "r if ., .❑Registered Mail Restricted <br /> 6LCertified Mail® Delivery <br /> 9590 9402 4394 8248 2701 02 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT"r <br /> 7018 18 3 0 0001 617 6 6850 n ir� o,ll ❑Signature Confirmation <br /> flail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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