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COMPLIANCE INFO_2005-2012
EnvironmentalHealth
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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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Postal <br />CERTIFIED <br />(Domesticcc <br />Only; No Insurance Coverage Provided) <br />O <br />OFFICIAL USE <br />C3 Postage $ <br />Er <br />M Certified Fee NOV 1 1 200? <br />� Return Receipt Fee PostmaHere rk <br />Q (Endorsement Required) <br />Restricted Delivery Fee <br />. (Endorsement Required) <br />Er <br />Total Postage & Fees I $ <br />r� <br />M1 Sent To <br />C3 MAHESH PATEL <br />-------------------------------------------------- <br />l7 Streef, ApC No.; "" g5b'_W . ' 11TH STREET <br />Iti or PO Box No. <br />--- -RAC-Y <br />Cffy, State. ZIP+4 i_.C2i----9-J37{Y------------------------------ <br />PS Form 3800 August 2006 See Reverse for InstrL101011S <br />■ 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 />IN <br />MAHESH PATEL <br />950 W. 11TH STREET N <br />TRACY, CA 95376 <br />A. Signature%� jZ lJ�% <br />X / ❑Agent <br />❑ Addressee <br />I,ReceiJecl by (Printed Name) C. Date of Delivery <br />Its different from item 1? ❑ Yes <br />n ery address below: ❑ No <br />1 9 x.007 <br />PER iTO1141b <br />C3'Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mai( ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7007 1490 0003 9066 0868 <br />(Transfer from service laben <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -o2 -M-1540 <br />13 <br />
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