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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2575
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2200 - Hazardous Waste Program
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PR0514045
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/18/2021 2:46:24 PM
Creation date
6/22/2021 1:34:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0514045
PE
2220
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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[r - <br />„t Domestic <br />-I- For delivery information, visit our website at wwwusp-:C:-��� <br />Ep— <br />m 0 1 C I A L U 1 <br />Certified Mail Fee <br />$ ,�(� <br />C <br />Extra Services & Fees (cnackbox, add tees ropdat) NOn CGmviN �ric <br />I] ❑ Return Recelpt (hardcopy) $ L n �� <br />� E] Return Receipt (electronic) $ CG� Postmark <br />Q []Certified Mail Restricted Delivery $ Here <br />O ❑ Adult Signature Required $ Z <br />❑ Adult Signature Restricted Delivery $ r� <br />E3 Postage \� 1z <br />`q $ CALIFORNIA FUEL SUPPLY <br />� Total Postage ant <br />o $ RE: COUNTRY CLUB MOBIL CIRCLE K <br />ru sent To 3669 MT DIABLO BLVD <br />StieeiandAjiE'Vt LAFAYETTE, CA 94549 <br />uliy,--iatW]NP+'4 Re: PR0514045 Rtn: LB <br />■ Complete items 1, 2, and 3. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits, <br />1. Article Addressed to: <br />CALIFORNIA FUEL SUPPLY <br />RE: (,.JUNTRY CLUB MOBIL I4C' L <br />3669 MT DIABLO BLVD <br />LAFAYETTE, CA 94549 <br />Re: PR0514045 Rtn: LB <br />VIII III IIIIII IIIIII III I II I II <br />9590 9402 6099 0125 5840 21 <br />2. Article Number (Transfer from service label) <br />7020 1810 0000 4003 <br />PS Form 3811, July 2015 PSN 7530-02-000-905 <br />A. Signature <br />X 5� b �y 3 C/ ^ /� M Addre <br />`7 lam/ ❑Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />-5 014 6 --zi, Z1 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3 <br />3. Service Type <br />❑ Priority Mail Express® <br />❑ Adult Signature <br />❑ Registered Mail- <br />0Adult Signature Restricted Delivery <br />❑ Registered Mail Restricted <br />Certified Mail® <br />Delivery <br />❑ Certified Mail Restricted Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />❑ Collect on Delivery Restricted Delivery <br />0 Signature Confirmation- <br />onfirmation- <br />r---A <br />r— -A Mail <br />❑ Signature Confirmation <br />4859 viail Restricted Delivery <br />Restricted Delivery <br />;o) <br />Domestic Return Receipt <br />
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