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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0521021
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/2/2021 4:19:42 PM
Creation date
6/10/2021 8:40:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0521021
PE
1921
FACILITY_ID
FA0003610
FACILITY_NAME
A&A GAS & FOOD MART
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Postal <br /> CERTIFIED o RECEIPT <br /> Domestic Mail • <br /> nifniiiiiiiiiiiiiiiiii <br /> For deliver <br /> 0 <br /> Q— Certified Mail Fee 3 <br /> Ir $ N <br /> frl Extra Services&Fees(checkt»x,add fee as <br /> ❑Return Receipt(hardcopy) $ ePa-1;praO�re, OM ti�,��� <br /> O 0 Return Receipt(electronic) $ <br /> �R�r ,�{� <br /> ❑Certified MailRestricted <br /> Require Delivery g Postmark <br /> ED Adult Signature Required Here <br /> O $ 1Q❑Adult Signature Restricted DelWery$ Cr <br /> O Postage 1,41$ dm3 q <br /> m TotafPostagean A&G GAS INC <br /> $ RE: A&A GAS & FOOD MART <br /> O Sent To <br /> 16 E HARDING WAY <br /> p SfieetandApLiVi STOCKTON, CA 95204 <br /> N <br /> cn� state, (P+4 RE: PR0521021 <br /> Rtn: LB <br /> rr , <br /> r r rrr <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. r"� ' AName) C. <br /> dressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed eor on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address die <br /> AGA GAS INC IfEIRE: A&A GAS & FOOD MART <br /> 16 E HARDING WAY <br /> STOCKTON, CA 95204 SEP 0 9 2021 <br /> RE: PR0521021 Rtn: LB <br /> 3 ServiI R O N M E NT/���,eterrd�a ° <br /> II I III I I'll III I Illi III II I I I II I I I III III <br /> Certified eSignature d Mail©Rest�L'ERART0 Adult Si e ryed Mall Restricted <br /> 9590 9402 6099 0125 5576 29 0 Certified Mail Restricted Delivery EJ Return <br /> eurn Receipt <br /> e ei t for <br /> 0 Collect on Delivery ❑Si nature ConflrmationTM <br /> ❑Collert on Delivery Restricted Delivery 9 <br /> 2. Article Number(transfer from servir.P Iaha/l Mail ❑Signature Confirmation <br /> 0 0 0 3 9 9 9 0 4 8 7 Mail Restricted Delivery Restricted Delivery <br /> 7020 18 0 0 <br /> �0) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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