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COMPLIANCE INFO_1986-2004
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FREMONT
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4100
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2300 - Underground Storage Tank Program
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PR0231574
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COMPLIANCE INFO_1986-2004
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Last modified
2/1/2021 11:45:21 AM
Creation date
6/23/2020 6:49:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2004
RECORD_ID
PR0231574
PE
2361
FACILITY_ID
FA0002123
FACILITY_NAME
GREWALS GAS & LIQUOR*
STREET_NUMBER
4100
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
14333046
CURRENT_STATUS
01
SITE_LOCATION
4100 E FREMONT ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231574_4100 E FREMONT_1986-2004.tif
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EHD - Public
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ce r <br />-Complete its t andfor 2 for additional services. t✓3 1998 <br />■t..ompiets items 3,4a, and 4b. <br />■ Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />y ■Attachthis form to the front of the mailpiece, or on the back if spacedoes not <br />®permit. <br />aB • Write `Ratum Receipt Req ted' on the mallplece mall'below the article number. <br />aThe Return Receipt will show to whom the article was delivered and the date <br />C delivered. <br />O <br />3. Article Addr ed to 4a. Article N <br />Z-- f "7 <br />4b. Service <br />r vvish to receive the <br />following services (for an <br />extra fee): <br />1. 11 Addressee's Address <br />2. ■ Restricted Delivery <br />Consult postmaster <br />BALBIR GREWAL <br />9665 TWIN CREEKS AVE ❑ Registered <br />STOCKTON CA 95219 Express Mail <br />❑ Retum Receipt for <br />7. Date of Delivery <br />5. Received By: (Print Name) B. Addressee's Add <br />I <br />d <br />and fee Is paid) <br />3 6. Sig lure: (Addressee or Agent) <br />PS Form 3811, December 1994 102595-97-B-0179 Dom <br />rd .• <br />nfy ff requested e <br />
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