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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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14000
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3500 - Local Oversight Program
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PR0544811
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/20/2024 9:23:29 AM
Creation date
9/5/2019 1:04:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544811
PE
3528
FACILITY_ID
FA0000091
FACILITY_NAME
Colonial Energy CE 40138 (DBA Power Mart)
STREET_NUMBER
14000
Direction
E
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
Zip
95237
CURRENT_STATUS
02
SITE_LOCATION
14000 E HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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P 298 999 787 <br /> Receipt for <br /> Certified Mail <br /> No Insurance Coverage Provided <br /> Do not use for International Mail <br /> �r.�sEr�E iSee r i <br /> Sent to ANASM'fA4E1qJUART1 <br /> TIJ4A,,QX4 1i <br /> 2717 WEST COMMODORE WAY <br /> P a,Sta P,and ZIP Code <br /> SF.kTTLE WA 98199-1233 <br /> Postage A <br /> y� .2 <br /> Certified Fee <br /> Specia:Deiivery Fee <br /> Restrlcled Delivery Fee <br /> Return Receipt Showing <br /> to Whom&Date Delivered 1 -00 <br /> Return Receipt Showing to WhCm, <br /> C Date,and Addresbee's Address <br /> 7 <br /> -OTAL Postage <br /> 0 &Fees <br /> 00 <br /> Postmark or Date <br /> CV) <br /> E <br /> 0 <br /> UL <br /> N <br /> a <br /> m <br /> y Complete*Items 1 andlor 2 for additione services. I also*4ish to receive the <br /> CDComplete items 3,and 4a&b. <br /> • Print your name and address on the reverse of this form so that we can following s�r'✓ices (for an extra U <br /> return this card to you, ; <br /> mqt • Attach this form to the front of the mailpiece,or on the back if space �Q(�/Q <br /> does not permit. 's Address m <br /> t • Write"Return Receipt Requested"on the mailpisce below the article number, <br /> " • The Return Receipt will show to whom the article was delivered and the date y CI <br /> c delivered. Z• ❑ Restricted Deliver a <br /> Consult postmaster for fee. Q <br /> J. Article Addressed to: n <br /> 4a. Article Number a <br /> m ANASTASIA E DUARTE P 298 999 787 <br /> CL o <br /> E TIME OIL CO 4b. Service Type <br /> 2737 WEST COMMODORE WAY ❑ Registered ❑ Insured °C <br /> yCertified ED COD C0 <br /> SEATTLE WA 98199-1233 c <br /> ❑ Express Mail ❑ Return Receipt for 0 <br /> rch dise <br /> a <br /> 7. Date of I• ,o <br /> CC 5. nature Addresse o <br /> 8. Addressee Ad s O y if requested Y <br /> W sem. and fee is a ► _ <br /> oc Signature (Agent) At <br /> 0 <br /> PS Form 9?, December 1991 *U.S.GPO.-1002-323-402 DOM C RETURN RECEIPT <br />
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