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COMPLIANCE INFO_2002-2004
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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J
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JACK TONE
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1501
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2002-2004
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Last modified
7/28/2021 1:24:55 PM
Creation date
6/23/2020 6:56:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2004
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2002-2004.tif
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EHD - Public
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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print yojc <br />MU. <br />reverse <br />so that%fros <br />ga <br />■ Attach t ailpiece, <br />or on th <br />1. Article Addressed to: <br />FLYING J INC <br />AWN RICK CALLAHAN <br />3353 FEDERAL WAY <br />BOISE ID 83705 <br />A. <br />X <br />❑ Agent <br />❑ Addressee <br />eceived (Prinl ame) C. Date of Delivery <br />A i u� � �� <br />DV Is delivery address different from item 1 ? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />11` <br />6)l2 4 <br />�l <br />3. s rvice Ty 004 <br />Certified "Id ,'ji,❑ Express Mail <br />Registered f h NAWi ;gece�ot f r Merchandise <br />❑ Insured Mail t�' C.o.b, r l' p <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7002 2030 0001 7624 6174 <br />(Transfer from service label) eIk <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-01-M-2509 <br />
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