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3500 - Local Oversight Program
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PR0545420
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/5/2020 5:33:06 PM
Creation date
3/5/2020 4:20:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545420
PE
3528
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (SPEEDWAY) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
02
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Z 187 935 906 <br /> US fts>a+sere ,. <br /> Receipt for Certified b' <br /> -- <br /> CHUCK NICHOLS <br /> USA PETROLEUM CO <br /> 30101 AGOURA CT #200 <br /> AGOURA HILLS CA 91301-4311 <br /> JUN a 4 9999 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> LO <br /> Return Receipt Showing to <br /> Ufhom&Date Delivered <br /> Rewm Receipt Sha N W Whom- <br /> Date,&Addressee's Address <br /> O TOTAL.Postage&Fees <br /> W <br /> th Postmark or Date <br /> 0 <br /> LL <br /> rn <br /> Q <br /> ---Z7— I also wish to WOIVB the <br /> following services <br /> EN r an <br /> eta'ems 1 and/(x 2 for r�Wm this extra fee): 5 I <br /> •complete items 3,oddness 1.❑ <br /> ■Print your Hama and don net <br /> card to you. Iecs,or on 2.❑ Restricted Delivery <br /> .a Attach this loan the pont of the mgilP below the article <br /> ppeemrN. on the maiipieoe a Stmaster for fee. <br /> ■Write'Return Rece�� t0 w�ttre guide was delivered and de p t}CtonsUtt POSt <br /> ■The Return Receipt _ — _ -- "- — IB �L.b <br /> CHUCK-191CHOLS 4b.Service Type <br /> USA PETROLEUM CO ❑ Registered <br /> Certed <br /> AGOURA <br /> 30101 CT #200 Insured c <br /> 30101 HILLS CA 91301-4311 ❑ ExpressMail me COD <br /> ❑ Return Receipt <br /> 7.Date of Deli ; <br /> S.Addressee' <br /> ess ested <br /> 5.Reeceived By:(Print" c) and fee ) <br /> 6.Signature: (Addressee orA9ent) <br /> r <br /> X -� 1 Domestic Return Receipt <br /> PS Form 3811,December 19 <br />
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