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COMPLIANCE INFO_2006-2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231348
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COMPLIANCE INFO_2006-2015
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Last modified
12/12/2023 9:41:51 AM
Creation date
6/3/2020 9:47:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2015
RECORD_ID
PR0231348
PE
2361
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231348_601 E KETTLEMAN_2006-2015.tif
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EHD - Public
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• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space 9 <br />,8W, 'A A I)AAP <br />1. Article Addressed to: <br />Tony Singh <br />601 E. Kettleman Ln. <br />Lodi, CA 95240 <br />2. Article Number <br />(Transfer from service label)' <br />PS Form 3811, August 2001 <br />A. Signature <br />X t �a Agent <br />Addie <br />B. Received by (Pfinted Name) C. jDq(e oOeli <br />—I D. Is delivery address different from item(? 0 Yes <br />I If YES, enter delivery address below: 0 No <br />3. Service Type <br />'VCertified Mail 0 Express Mail <br />0 Registered 11 Return Receipt for Merchandise <br />171 Insured Mail El C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />7003 2260 0003 3186 0786 <br />Domestic Return Receipt <br />-M-2509 <br />
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