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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231333
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
6/28/2021 12:58:46 PM
Creation date
8/20/2020 5:00:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231333
PE
2361
FACILITY_ID
FA0003711
FACILITY_NAME
LAKEWOOD CHEVRON
STREET_NUMBER
236
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03710028
CURRENT_STATUS
01
SITE_LOCATION
236 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Postal <br /> CERTIFIED ru RECEIPT <br /> 0 <br /> tti Domestic <br /> M <br /> tr For delivery information,visit our website at www.usps.coml. <br /> _aOFFICIAL USE I <br /> Certified Mail Fee o V 'Y <br /> Extra Services&Fees(check box,add fee as appropriate) \r <br /> ❑Return Receipt(hardcopy) $ <br /> E3 ❑Return Receipt(electronic) $ Postrng* <br /> E3 []Certified Mall Restricted Delivery Here <br /> IM ❑Adult Signature Required $ <br /> Adult Signature Restricted Delivery <br /> O E] $ <br /> M Postage <br /> a gBR PETRO INC <br /> co 1236 N HAM LN <br /> o LODI CA 95242-2922 <br /> ' Re: PR0231333 Rtn: ZB <br /> SENDER: COMPLETE THIS SECTIOIV I COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete Rems 1,2,and 3. A. Signature <br /> ■ P yt m ss r erse X ❑Agent <br /> so at a et rn t Card u ❑Addressee <br /> ■ <br /> Aft h t is a t e ck o h iece, B. Received by(Printed ame) C. Date of Delivery <br /> or t rmi . <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> BR PETRO INC If YES,enter delivery address below: ❑ No <br /> 236 N HAM LN <br /> LODI CA 95242-2922 <br /> Re: PR0231333 Rtn: ZB <br /> II I IIIIII IIII III I III II III I VIII)I I I II I II II I III 3. Service Type ❑Priority Mai)Express® <br /> ❑Adult Signature ❑Registered MaiIT"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 4394 8248 2714 20 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation1m <br /> Mail ❑Signature Confirmation <br /> 7 018 1830 0001 617 6 9370 ,O ll Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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