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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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ET Certified Mail FeeCr <br />Er <br />M Extra Services & Fees (check box, add ea s appropdar <br />F-1 Return Receipt (hardcopy) $ <br />O ❑ Return Receipt (electronic) $ Postmark <br />C:3 ❑ Certified Mail Restdcted Delivery $ Here <br />C3❑ Adult Signature Required $ C1 \� � \ <br />❑AdultSignature Restricted Delivery $ c1 <br />E-3 FSent <br />e <br />cO COUNTRY CLUB MOBIL CIRCLE K <br />r-q� ostage an <br />$ 2575 COUNTRY CLUB BLVD <br />C3 o STOCKTON, CA 95204 <br />ru0and Apt IVB <br />r\ - <br />Re: PR0514045 Rtn: LB <br />■ Complet itims 1 22 and 3. <br />■ Print your Hanle Intl addhess on the reverse <br />so that wig. jag Iitur th9.:c <br />you <br />. <br />■ Attach this card to the back o e mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />COUNTRY CLUB MOBIL CIRCLE K <br />2575 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />Re: PR0514045 Rtn: LB <br />A. Signature L� <br />X�q ❑ Agent <br />l ❑ Addressee <br />B. Received by (Printed Name) C. Dat of D tery <br />D. Is delivery address different from item 1? ❑ Ye <br />If YES, enter delivery address below: ❑ No <br />3. Service Type ❑ Priority Mail Expresso <br />II I III' III II I III III II I II II I (III II I I ❑ Adult Signature (3 Registered Mail <br />❑ R Adult Signature Restricted Delivery ❑Registered Mail Restricted <br />Certified Mail® Delivery <br />9590 9402 6099 0125 5834 99 El Certified Mail Restricted Delivery 13 Return Receipt for <br />EJCollect on Delivery Merchandise <br />❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation - <br />2. Article Number (Transfer from service label) ,tail C Signature Confirmation <br />7020 1810 0000 3999 0135 o)il Restricted Delivery stricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />U.S. <br />Postal <br />Service'"' <br />CERTIFIED <br />MAIL° <br />RECEIPT <br />Domestic <br />Mail <br />Only <br />For delivery <br />information, <br />visit <br />our website <br />at <br />www.usps.com`". <br />ET Certified Mail FeeCr <br />Er <br />M Extra Services & Fees (check box, add ea s appropdar <br />F-1 Return Receipt (hardcopy) $ <br />O ❑ Return Receipt (electronic) $ Postmark <br />C:3 ❑ Certified Mail Restdcted Delivery $ Here <br />C3❑ Adult Signature Required $ C1 \� � \ <br />❑AdultSignature Restricted Delivery $ c1 <br />E-3 FSent <br />e <br />cO COUNTRY CLUB MOBIL CIRCLE K <br />r-q� ostage an <br />$ 2575 COUNTRY CLUB BLVD <br />C3 o STOCKTON, CA 95204 <br />ru0and Apt IVB <br />r\ - <br />Re: PR0514045 Rtn: LB <br />■ Complet itims 1 22 and 3. <br />■ Print your Hanle Intl addhess on the reverse <br />so that wig. jag Iitur th9.:c <br />you <br />. <br />■ Attach this card to the back o e mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />COUNTRY CLUB MOBIL CIRCLE K <br />2575 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />Re: PR0514045 Rtn: LB <br />A. Signature L� <br />X�q ❑ Agent <br />l ❑ Addressee <br />B. Received by (Printed Name) C. Dat of D tery <br />D. Is delivery address different from item 1? ❑ Ye <br />If YES, enter delivery address below: ❑ No <br />3. Service Type ❑ Priority Mail Expresso <br />II I III' III II I III III II I II II I (III II I I ❑ Adult Signature (3 Registered Mail <br />❑ R Adult Signature Restricted Delivery ❑Registered Mail Restricted <br />Certified Mail® Delivery <br />9590 9402 6099 0125 5834 99 El Certified Mail Restricted Delivery 13 Return Receipt for <br />EJCollect on Delivery Merchandise <br />❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation - <br />2. Article Number (Transfer from service label) ,tail C Signature Confirmation <br />7020 1810 0000 3999 0135 o)il Restricted Delivery stricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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