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3500 - Local Oversight Program
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PR0545347
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2020 6:04:04 PM
Creation date
2/6/2020 3:25:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545347
PE
3528
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
02
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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v SE pl nd/o 2 for dditwnal c / s ish to receive the <br /> V) ■ molete items 3,4a,and 4b. following services(for an i <br /> ami ■Print'your name and address on the reverse of this fo the we can return this a <br /> card to you. �7 � <br /> > ■Attach this form to the front of the mail ' or ` space does t Addressee's Address <br /> permit. <br /> ■WdtWRetum Receipt Requested'grithe m elo i r. 2. ❑ Restricted Delivery W <br /> t ■The Return Receipt will show to who t e ell <br /> delivered. Consult postmaster for fee. •_ <br /> 0 <br /> 3.Article Addressed to: 4a rticle Number /,, ` <br /> ' & DALE BOYETT <br /> 4b.Service Type �.,r <br /> S C & D �30I�ETT PTP ❑ Registered i Lg Certified <br /> N P 0 BOR 1099 ❑IEzpress Mail, u.3 lL] Insured <br /> rn <br /> ¢ SALIDA CA 95368 p Return Receipt for Merchandise ❑ COD <br /> p 7<Date of,Qgtivery/ j o t <br /> --- <br /> Z) 5.Received 6y:(Print Name) 8.Addressee's A (Only if requested ; <br /> w , and fee is p t <br /> 6. 1 tures Iddresse o Agent) <br /> 0 t <br /> ° XJ <br /> N PS orm 30fl, December 1994 Domestic Return Receipt <br /> I <br /> i P 590 424 629 <br /> S Postal siM 0 8 1998 <br /> F Receipt for Certified Mail <br /> DALE BOYETT <br /> S C & D BOYETT PTP - <br /> P 0 BOX 1099 <br /> SALIDA CA 95368 _ a <br /> $ <br /> Postage - <br /> E <br /> ! Certifiecifee. _ <br /> Special Delivery Fee z <br /> _ 9 <br /> Ln <br /> Restricted Delivery Fee w <br /> Return Receipt Showing to' P <br /> Whom&Date Delivered <br /> Q Retum Receipt Slowing to Whom, , <br /> ¢ Date,&Addressee's Address <br /> O ' <br /> 0 TOTAL Postage&Fees $ <br /> M Postma or Date <br /> 11 � SCJ• ��"'�- _ � r <br /> C0 <br />� . 4 <br /> l � <br />
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