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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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3147
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3500 - Local Oversight Program
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PR0544705
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/29/2019 10:46:33 AM
Creation date
7/29/2019 10:39:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544705
PE
3526
FACILITY_ID
FA0003754
FACILITY_NAME
CALIFORNIA FUELS
STREET_NUMBER
3147
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17512003
CURRENT_STATUS
02
SITE_LOCATION
3147 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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l FILE COPY <br /> Page 2 <br /> SITE CODE : 1086 <br /> SITE NAME : VAN DE POL ENTERPRISES Z 128 784 466 <br /> 3147 S ELDORADO US Postal Service <br /> STOCKTON CA 95206 Receipt for Certified Mail <br /> No Iriamanrto cr,vPrnno Pmodurl <br /> se <br /> D DAVID ATWATER <br /> RESPONSIBLE PARTY(IES) : VAN DE POL ENTERPRISES <br /> ` P 0 BOR 1107 <br /> DAVID ATWATER F STOCKTON CA 95201 <br /> VAN DE POL ENTERPRISES - <br /> r P O BOX 1107 Postage $ <br /> STOCKTON CA 95201 Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> ce Return Receipt Showing to <br /> Whom 8 Date Delivered <br /> om, <br /> o, fletum Receipt Showing to Wh <br /> S gate, BAddressee's Address <br /> O TOTAL Postage 8 Fees Is <br /> co <br /> W Postmark or Date <br /> E <br /> 0 <br /> LL <br /> CIL <br /> SENDER: <br /> ■ Complete items 1 , 2, and 3. Also complete A. Received by (Please Print Clearly) B. Late Pf Delivery <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse . <br /> so that we can return the card to you. C. Sign <br /> - ■ Attach this card to the back of the mailpiece, ❑ Agent <br /> oro 'r t s ermits. ! X / ❑ Addressee <br /> 1 . Article. Addressed to: D ivery res ant from item 1 ? ❑ Yes <br /> If YES, enter delivery address below: ❑ No <br /> j . <br />.FIS DAVID AMTER <br /> VAN DE POL ENTERPRISES <br /> P O BOX 1107 5. Service Type <br /> .4. .fin Certified Mail ❑ Express Mail <br /> STOCKTON CA - 5 � .. 1 ❑ Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ❑ Yes <br /> 2. Article Number (Copy from service label) - <br /> - � :z � y <br /> PS�jFormpy11 , my 1999. Dome is Return ecc" 1o25ss-Oo-M-os52 <br /> I <br />
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