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COMPLIANCE INFO_2001-2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOSSDALE
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2001-2009
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Last modified
12/28/2023 11:29:54 AM
Creation date
6/3/2020 9:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2009
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2001-2009.tif
Tags
EHD - Public
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j ■ Complete items 1, 2, and 3. Also complete <br />item 4 if Re n i <br />■Print your n�� erse <br />so that we a <br />■ Attach this card to the back o e mai piece, <br />'or on the front if space permits. <br />II 1. Article Addressed to: <br />MEL BOKIDES PETROLEUM <br />INC <br />PO BOX 7747 <br />STOCKTON CA 95267 <br />j 2. Article Number <br />(Transfer from service label) <br />A. Signature <br />X <br />❑ Agent <br />❑ Addre <br />13. Received by (Printed Name) <br />C. Date of Del' <br />D. Is delivery address different from item 19 <br />❑ Yes <br />If YES, enter delivery address below: <br />❑ No <br />3. Service Type <br />,Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7004 2510 0003 3789 3994 <br />FPS -Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />
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