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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WALNUT GROVE
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8960
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2900 - Site Mitigation Program
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PR0506456
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/22/2020 7:56:02 AM
Creation date
6/22/2020 7:47:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0506456
PE
2950
FACILITY_ID
FA0007437
FACILITY_NAME
M & K GAS STATION
STREET_NUMBER
8960
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00115029
CURRENT_STATUS
02
SITE_LOCATION
8960 W WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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P f 9 ( L s M'ki 3J Ll <br /> 1 <br /> DOUGLAS MANSER <br /> M & K MARKET <br /> P O BOX 433 <br /> THORNTON CA 95686 <br /> .............. ...... .... .... ....................................................... .................................: <br /> . ..................... ........... .... ........... ................. ........ . . .. <br /> tv• C r le a t an !o 2 fnr additional services. I 3150 WIS t0 rECeiVe file <br /> y Conlr=iLte Mems 3, and 4a&5. following services #for an extra U <br /> ems.. • Print YOur name and address on the reverse of this for at we can fee): - ? <br /> Q) return this card to you. _:7 Attach this form to the front ofthe mailpiece, a 1. � A es 5`44r?ess <br /> I.riot permit. r <br /> 0 • Write"Return Receipt Requested"on the mailpiece below he article m er.' 2. Ll Restricted Delivery <br /> *' . The Return;Receipt will show to whom the article was delivered and the date <br /> de!iV red. _ Consult postmaster for fee. 44) <br /> 3. Article Addressed to: 4 A tic e Nu er <br /> " DOUGLAS N,ANSER �- �� - <br /> 4b. Service Type _ <br /> E M& K MARKET C7 Registered i Insured c <br /> P O Box 433 Certified ? C 0 9 <br /> THORNTON CA 95686 Express Mail �J Return Receipt for a <br /> Merchandise <br /> 0 7. Date of DOlivery <br /> C <br /> _ _ _ <br /> 1 : - <br /> -- – H. Adds e's Address iOnly if requested-,g5. Signature (Addressee) <br /> and fe i paid) <br /> 6,...---F n re Agenfl �— p <br /> h 'IS Form 3811, December 1991 *U.S.GPO:1053--352.714 D TIC RETURN RECEIPT <br />
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