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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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Z 187 935 960 <br /> US Pa <br /> „_Cpletif��1.-Mil <br /> ANAS TAS IA E. DUARTE <br /> TIME`OILS--CO <br /> 2737 WEST .COMMODORE .WAY <br /> SEATTLE-WA 98199-1233 <br /> r -JUN 147:1999 i <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> u� <br /> Reium Receipt Showing to <br /> Whom&Date Delivered <br /> Q Relum Awe#Sho•NN to Whomn, <br /> Q Date,S Addressee's Address <br /> O <br /> 0C TOTAL_Postage 8 Fees <br /> Postmark or Date <br /> 0. <br /> S DER• I also wish to receive the <br /> ■Complete items t or 2 ad Itl se following services for an <br /> ■Complete ttems 3 4a 9 t <br /> ■Print your name a of at""c6n return this extra fe <br /> card to you. i � sl 71fa .� <br /> ■Attach this form to of the mallpieoe, the k if space does net 1. e B S ss <br /> El Deliv <br /> permit. e <br /> * � ■Write'Return Receipt Requested'on the mallpieoe below the aAlcle number. 2. ry <br /> e The Return Receipt will show to whom the amide was delivered and the date <br /> delivered. Consult postinaster for fee. <br /> aa. Icicle Numbar <br /> �_ <br /> ANASTASIA E DUARTE LJ <br /> TIME OILX0 4b.Service Type <br /> 2737 WEST COMMODORE WAY ❑ Registered Certified <br /> SEATTLE WA, 98199-1233 ~'. ❑ Express Mail insured CO <br /> ❑ Return Receipt for rch . ise ❑ COD <br /> ` 7.Date of D live . <br /> Z z;� <br /> 5:`Riai4idd"By:(Pant Name) 8.Addressee's "(Only if requested w <br /> and fee is paid �I <br /> 6.Sign atur ' ( yrsree or Agent) <br /> = : X <br /> PS Form'-391 1,December 1994 102595-9e-B-W29VDOnhestic Return Receipt <br />
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