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COMPLIANCE INFO_2005-2012
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_2005-2012
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Last modified
11/19/2024 10:19:32 AM
Creation date
6/3/2020 9:48:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2012
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_2005-2012.tif
Tags
EHD - Public
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■ Com i 1, o e <br />item 4 Re ria 's des d <br />■ Print y r n dre on t r e <br />so that e t n to <br />■ Attach th ca r tot a ac of the mailpiece, <br />or on the front if space permits. <br />f 1. Article Addressed to: <br />Mahesh Patel <br />950 W 11 th Street <br />Tracy, CA 95376 <br />W 11th Street <br />A. Signature <br />X Agent <br />❑ Addressee <br />B. )DD C. Date of Delivery <br />n -0 <br />D. Is delivery address different from ftem 1? ❑ Yes <br />If YEW daliv8 ?M#s below: ❑ No <br />ENP Mi StRViCEI HEALTHONMENT <br />3. Service Type <br />Certified Mail ❑ Express Mail <br />RTN:MH ❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />E2. Article Number 7008 0150 0000 8034 5027 <br />(rransfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2 -M-1540 <br />
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