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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545438
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
3/9/2020 4:31:40 PM
Creation date
3/9/2020 1:19:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545438
PE
3528
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
02
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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DBNORMI� ® v fr3�f = • • <br /> o Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑4't <br /> E3 Print your name and address on the reverse C/,Q'L ❑Addressee <br /> so thatAMC h tVd to you. B. R by Prfnt ame) C. Date of Delivery <br /> ® Attach t o the Of the WPM Z V 11-K <br /> or on the front If space permits. WY Z V <br /> D. Is deliv Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> NOV - g 2006 <br /> EXECUTIVE OFFICER ENVIRONMENT HEALTH <br /> CENTRAL VALLEY REGIONAL <br /> WATL•'K QUALI'T'Y UUPI'I KUL tIUAKD 3. Service type <br /> 11020 SUN CENTER DR #200C9ertified Mail 13 Express Mail <br /> RANCHO CORDOVA 95670-6114 Registered ❑ReturnReceipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (7ransfrfm,rrr ,t 7004 2510 0004 387.6 7910_ <br /> ' PS Form 3811,February 2004 Domestic Return Receipt �� 10 5-02-M-1540 <br /> o Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. <br /> © Print yolugpe�,n d on the reverse <br /> so that 1S r�t3 �Va <br /> U t��d t0 you. B. Rece by n ame) C. Date of Delivery <br /> m Attach this card to the back of tl,V' iRf ce, 3 <br /> or on the front if space permits. i 1- <br /> D. Is djft 7 ❑Yes <br /> 1. Article Addressed to: If Y d I ❑No <br /> JAMES L L BARTON NOV - 9 2006 <br /> CENTRAL VALLEY REGIONAL ENVIRGNMFNT HFA!TH <br /> WATER QUALI'T'Y CONTROL BOARD cetf 5�� ' <br /> UNDERGROUND STORAGE TANK UNIT 3i 3rtified Mail ❑ Express Mail <br /> 11020 SUN CENTER DR #200 0 Registered ❑Return Receipt for Merchandise <br /> RANCHO CORDOVA CA 95670-6114 ❑Insured Mail ❑C.O.D. <br /> Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number — - -- — <br /> (Transferttomscrvfbsfrha 7004 2510_0004 3876 7927 (� <br /> PS Form 3811,February 2004 Domestic Return Receipt 02595-0244-15401 <br /> #Postage <br /> ru �DU�u1Y'�� i�CIO P <br /> Q'f�171 <br /> M Postage $ <br /> 0 cefurw, 1S <br /> C3 L'RatUG10 0�� � OO certtfled Fee <br /> C3 (Endo w �O �� � �� O Return Receipt Fee Postmark, <br /> C3 S•4'�S'��GOp��' tion ��, C (Endorsement Restricted Deli1v Required) Here <br /> ti Q✓ �� .S N (Endorsement Required) <br /> ru <br /> Total Postage EXECUTIVE OFFICER ' <br /> L C&�C�'¢G C 49 0 o CENTRAL VALLEY REGIONAL <br /> GO .............................................. ..._ - WATER QUALITY CONTROL BOARD <br /> G�O --- <br /> 36nre fr7ipt74d• 11020 SUN CENTER <br /> orppgpx� <br /> F RANG DR #200 <br /> ------------------------------------------------------------ HO CORDOVA 95670-6114 <br /> �. cni:"s�cC;;zi ,---- <br />
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