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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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r.+ <br /> 7COMPLETE THIS <br /> . . <br /> SECTIONDELIVERY <br /> ■ - <br /> ■ Complete items 1, 2.and 3. Also complete <br /> A. Received by(P)ease Pr�r+f Clearly'/ B. Date of Delivery <br /> tem 4 if Restricted Delivery is desired. -- <br /> ■ Print your name and address on the reverse C. Signature <br /> so that rt r t �y��((d to you. ❑Agent <br /> ■ Attach til d �e��ldkbof the m ilpiece;' X F, F Q.Addressee <br /> or on the front if space permits. ---- — � <br /> D_ Is delivery a�dfehit n.t Yes <br /> I. Article Addressed to mm If YES,enter delivery address below. ❑ No <br /> FEB 0 9 2004 <br /> EXECUTIVE OFFICER <br /> r,. - <br /> CALIFORNIA VALLEY REGIONAL <br /> WATER QUALITY CONTROL BOARD 3 service Type <br /> LINDERGROLJND STORAGE TANK UNIT ertified Mail ❑ Express Mal <br /> Registered ❑ Rekurn Receipt for Merchandise <br /> 11020 SUN CENTER DR#204 <br /> RANCHO CORDOVA CA 95670-6114 I _ Insured Mail G]C.0 fl <br /> , 4 Restricted Delivery?{Extra Fee? El yes <br /> ArticleNurrnbe 70102 20201 0001 7624 515 <br /> " 102595-OC M-0952 <br /> PS Form 3811,July 1999 / ODagr�,ti`R tur ece <br />
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