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COMPLIANCE INFO_2003-2005
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231430
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COMPLIANCE INFO_2003-2005
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Last modified
1/2/2024 12:38:04 PM
Creation date
6/23/2020 6:48:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2005
RECORD_ID
PR0231430
PE
2361
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
01
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231430_1196 W LOUISE_2003-2005.tif
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EHD - Public
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d SENDER: I also wish to receive the <br /> •v_ ■Complete items 1 and/or 2 for additional sces. <br /> M •Complete items 3,4a,and 4b. following services(for an <br /> 4) ■Print your name and address on the reverse of this form an th can return this extra fee): <br /> card to you. <br /> •Attach this form to the front of the mailpiece,or on the back if space does not t f, ❑ Addressee's Address Z <br /> permit. at <br /> d ■Whte-Return Receipt Requested-on the mailpiece below 2. ❑ Restricted Delivery VJ <br /> r ■The Return Receipt will show to whom the article was d <br /> delivered. suit postmaster for fee. <br /> rticle N d <br /> QUIK STOP INC 41�r ce T w <br /> 4567 ENTERPRISE ❑'491st 2rt rtlfied <br /> tl�l , FREMONT CA 94538 Gyre ❑ Insured S <br /> rn <br /> Ll Retu pt for k9ochodise ❑ COD <br /> a <br /> 7 711 to of alive <br /> z V a°. <br /> 5.Received By:(Print Name) 6.Xddressee,i dress(Only if requested <br /> and fee is p d) i <br /> r <br /> 6.Signature:(Addressee or Agent) <br /> X <br /> ,0259,5-97-B-0,79 Domestic Return Recei t <br /> PS f=orm 3811, December 1994 p <br />
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