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COMPLIANCE INFO_2020
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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PR0231784
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
1/14/2021 9:49:40 AM
Creation date
6/16/2020 3:57:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231784
PE
2361
FACILITY_ID
FA0003834
FACILITY_NAME
PACIFIC AVE CHEVRON
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
097-410-48
CURRENT_STATUS
01
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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.n <br />co <br />M <br />ra <br />_n <br />M <br />Ln <br />rq <br />r3 <br />0 <br />17-1 <br />Er <br />r -q <br />0 <br />1` <br />❑Return Receipt (hardcopy) $ \;:�( ) <br />❑ Return Receipt (electronlc) $ <br />EDCertified Mall Restricted DelNery $ <br />❑ Adult Signature Required $ <br />❑ Adult Signature Restricted Dellvary $ <br />Postmark <br />Here <br />T1 Postage an EDWARD R MARSZAL ENTERPRISES INC <br />RE: PACIFIC AVE CHEVRON <br />,rro 5805 WINDMILL WAY <br />ae[sndApt IV CARMICHAEL, CA 95608-1371 <br />Re: PR0231784 Rtn: PN <br />■ Complete items 1, 2, and 3. <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 />EDWAP;." R MARSZAL ENTERPRISES INC <br />RE: PACIFIC AVE CHEVRON <br />5805 WINDMILL WAY <br />CARMICHAEL, CA 95608-1371 <br />Re: PR0231784 Rtn: PN <br />A. Signature <br />, <br />X lam''"/ V� "� � ❑ Agent <br />na <br />Q Ad re <br />B. Received by (Printed Name) C` D to of Oel <br />D. Is delivery address different from item 1? I b-1' Yb; <br />If YES, enterkit*d71 balp +, f No <br />MAY 0 6 2020 <br />I <br />I I <br />III <br />II <br />I II <br />I II <br />I <br />(I <br />II <br />VIII <br />I I I I <br />ess® <br />lrM <br />3. Service Type 1) 1'1Rto edMa <br />❑® Adult Signature p <br />idult <br />Signature Restricted Delivery <br />❑ Registered Mail Restricted <br />9590 9402 5616 9274 2213 48 <br />Certified Mail® <br />❑ Certified Mail Restricted Delivery <br />Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />2. Article Number (Transfer from service label) <br />❑Collect on Delivery Restricted Delivery <br />-- ,- <br />❑ Signature Confirmation- <br />❑ Signature Confirmation <br />7019 1,640 0001 5 5 61, <br />Aail <br />5 8 5 6 Aalil Restricted Delivery <br />Restricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />
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