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COMPLIANCE INFO_2010-2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_2010-2018
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Last modified
2/28/2023 11:45:51 AM
Creation date
6/3/2020 9:44:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2018
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_2010-2018.tif
Tags
EHD - Public
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(DomesticLn Only; <br />r-1 <br />For delivery informationour website <br />Ln <br />OFFICIAL USE <br />S <br />f`- <br />ni Postage $ AAA <br />43 Certified Fee <br />ra Postmark <br />O Return Receipt Fee Here <br />O (Endorsement Required) <br />Restricted Delivery Fee <br />E3 (Endorsement Required) <br />ri <br />M Total Postage <br />m COUNTRY CLUB FOOD & FUEL MINI MART <br />[:V�.toApt.entrATTN: FASSEL ELDER <br />Cr - --_ -- -4880 E PEACH RD <br />� , No.; <br />r Pof3oxNo. MANTECA CA 95337-8546 <br />l'ty, State, 210 <br />N RE: 1856 COUNTRY CLUB RTN: GB <br />al <br />■ Complete items 1, 2, and 3. Also complete signature <br />item d ❑ Agent <br />■ Print urNa <br />d n e v f ❑ Addre <br />so th wehe rd to o R eived by (Printed Name) t o D�(■ Attac it ba of th m 'Ipor on the frits. <br />1. Article Addressed to:^ address different from item 1. ' es <br />U U F <br />1( "F v address below: ❑ No <br />COUNTRY CLUB FOOD & FUEL WRAP 01 ( L <br />ATTN: FASSEL ELDER ENVIRUNMEN <br />4880 E PEACH RD <br />r <br />PERMIT/S <br />Type <br />MANTECA CA 95337-8546 <br />40C Certified Mail ❑ Express Mail <br />RE: 1856 COUNTRY CLUB <br />RTN: GB <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />7009 3 410 0001 8274 5 915 <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />Domestic Return Receipt 102595-02-M-1540 <br />r <br />
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