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SITE INFORMATION AND CORRESPONDENCE_FILE 1
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0506186
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Entry Properties
Last modified
3/6/2020 4:15:52 PM
Creation date
3/6/2020 1:30:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0506186
PE
2950
FACILITY_ID
FA0007258
FACILITY_NAME
RIPON SHELL
STREET_NUMBER
341
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
26114007
CURRENT_STATUS
01
SITE_LOCATION
341 E MAIN ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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s' 1 <br /> 14- <br /> C1. bull 1 V <br /> R. I also wish to receive the follow- <br /> 'w ❑Cvhlplete items 1 ndior r I w., ing services(for an extra fee): <br /> a> complete items 4a, .� JUL 2 01999 <br /> ❑Print your name a dad a Een t re rse 5 that we can return this ai 3 <br /> card to you. 1. ❑ Addre"ssee's Address u <br /> '` ❑Attach this form to the fronof the m5i`pl' or on the pace does not 2 _ ` <br /> d p6rmit. \ 2. ❑ Restricted Delivery a ; <br /> ❑Write-Return Receipt Rec sted"on thett�ailpiece below is cl <br /> ❑The Return Receipt will sh$ o whom the rticle was deliver d 2- <br /> p delivered. _ Q <br /> a) <br /> 11919 a.Article umber W <br /> KAREN PETRYNA 1 4b''Service Type <br /> SHELL OIL CO C/OON-EN:T LLC, yp <br /> ,] Registered [Certified <br /> R O BOX 6249 _ <br /> F❑ Express Mail ❑Insured � <br /> CARSON CA 90749-6249 y <br /> i❑ Return Receipt for Merchandise ❑COD , <br /> 7.Date of Delivery ' <br /> Yf o <br /> c! T <br /> y, v o,,,Cr�, 8.Addressee's Address4requested and c <br /> ¢I��, cVc~� Ifee is paid) <br /> c6.Signature'�AddreessseeorrAgent) <br /> 0 4 <br /> N <br /> PS Form 3811, ber 1 102595-99-s-0225 D mes is Return Receipt <br /> Tf 187 -93.5 772 <br /> KAREN -PETRYNA .._, <br /> EQUILON.ENTERPRISES LLC . . <br /> P O BOX '6249 <br /> CARSON CA 907.4.9-6249 <br /> x -0, <br /> JUL 2--0,1999 I <br /> Postage <br /> II Certified Fee <br /> i Special Delivery fee <br /> Restricted Delive Fee <br /> rnReturn Receipt ho J <br /> *- Whom 8 Date li d <br /> R to <br /> p TAL age&Fees <br /> CD <br /> V) P or Date w - <br /> LL a <br /> n. <br />
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