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3500 - Local Oversight Program
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PR0545858
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/15/2020 6:34:56 PM
Creation date
7/15/2020 3:15:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545858
PE
3528
FACILITY_ID
FA0003600
FACILITY_NAME
Nella Oil #427
STREET_NUMBER
3300
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
3300 Waterloo Rd
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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a ` r Receiptfor <br /> Cel(fifie <br /> No Ins <br /> °aefP ovided <br /> Do no ! e ttL�7al Mail <br /> r (See Reverse) ;I <br /> Sent to WDES <br /> Street and No, <br /> KdeWA <br /> P.O.,State and ZIP Code BACKER Y <br /> I <br /> Postage .� <br /> Certified Fee �I <br /> 1.0 <br /> 0 <br /> Special Delivery Fee <br /> Ipi <br /> Restricted Delivery Fee i <br /> Return Receipt Showing <br /> 0) to Whom&Date Delivered <br /> Q Return Receipt Showing to Whom, I y <br /> C Date,and Addressee's Address III <br /> 3 � <br /> TOTAL Postage <br /> C &Fees $ I�2_2 9 <br /> (D Postmark or Date i <br /> M -- <br /> �— N DER: d o <br /> y • Complete items t and Ish tD r •e the <br /> y mN <br /> Complete!terns 3,ant <br /> r 1! • Print your name and a a Ervices 1W an extra 4) I <br /> return this card to you. •2 <br /> m • <br /> Attach this form to the front of the mailpiece,or on the back if space 1: 'LJ Addressee's Address m <br /> does not permit. N <br /> D • Write"Return Receipt Requested"on the mailpiece below the article number. ~ ` <br /> •' z' Restricted Delivery ; <br /> • The Return Receipt will show to whom the article was delivered and the date ❑ <br /> 'o delivered. Consult postmaster for fee. <br /> m 3. Article Addressed to: 4a. Article Number <br /> ATTN JACK ffiOADES P 2';9$ 9 96 3 <br /> a <br /> E NELLA OIL COMPANY 4b. Service Type <br /> oElRegistered C1 Insured <br /> .0 2349 RICKENBACKER WAY )9CerWied ❑ COD c <br /> ca W AUBURN CA 95602 <br /> ❑ ExpFess Mail ❑ Return Receipt for 2 i <br /> Merchandise <br /> p 7. Date of Deliver .0 <br /> r` o <br /> ;Z tgnatur".(AddresseeM 8. Addresseep dddress (Only if requested c <br /> ` d:fee i <br /> an ! <br /> .Uj <br /> ,W 6. Signa ur!/(Agent) <br /> Ho i <br /> PS Form 3811, December 1991 aus.[3Po,tesz�2aeo2 ME TIC RETURN RECEIPT 9 <br />
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