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COMPLIANCE INFO_1988-2004
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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PR0231401
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COMPLIANCE INFO_1988-2004
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Entry Properties
Last modified
11/19/2024 10:19:32 AM
Creation date
6/3/2020 9:48:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1988-2004
RECORD_ID
PR0231401
PE
2361
FACILITY_ID
FA0006388
FACILITY_NAME
KWIK SERVE
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
01
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231401_950 W ELEVENTH_1988-2004.tif
Tags
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 permits. <br />1. Article Addressed to: <br />11 <br />ATTN BALBIR GILL 116 <br />QUICK SERVE ENV!'; - <br />959 W 11TH ST nl::R1 <br />TRACY CA 95376 <br />A. Signature <br />❑ Agent <br />X (il it <br />�� Received Printed /N�a-m�e)j C. Datof' <br />,De <br />r fa -Y K d -y �l <br />,D; is delivery -address different from item 1? ❑Yes <br />If YES, enterloel4ry address below: ❑ No <br />f <br />1 r� <br />- M rV <br />NkCt:hlfted Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />12. Article Number <br />(Transfer from service label) 7002 2030 0001 7624 8826`' <br />I PS Form 3811, August 2001 Domestic Return Receipt 102595-01-M-250! <br />
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