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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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PR0520119
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/19/2021 1:50:29 PM
Creation date
7/9/2021 9:31:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0520119
PE
1921
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Postal <br /> CERTIFIED o RECEIPT <br /> M Domestic <br /> oIF <br /> tr, <br /> Cr Certified Mail Fe117- e �"'�' <br /> $ ion-cohnp� cah(Y- <br /> m Extra Services&Fees(check box,add fee as appropriate) , <br /> ❑Return Receipt(hardcopy) $ ��tAQ r <br /> Q ❑Return Receipt(electronic) $ <br /> ❑Certified Mail Restricted Delivery $ Postmark <br /> M <br /> ❑Adult Signature Required $ dotted ere <br /> 0 Adult Signature Restricted Delivery$ WWW <br /> 1-3 Postage <br /> $ <br /> � Total Postage a NAZISH HUSSAIN <br /> $ RE: BLACKHAWK PETROLEUM INC <br /> O Sent To <br /> nu 5611 E WATERLOO RD <br /> O $treefandApL' STOCKTON, CA 95215 <br /> Ciry stare,zTfi; Re: PR0520119 Rtn:VV <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ CompleteAems 1,2,and 3 A. Signature <br /> ■ Print your name and addreflare verse X <br /> � 13 Agent <br /> so that we can return the c ❑Addressee <br /> CZY <br /> ■ Attach this card to the back of the mailpiece, B. ec iv d y(Prrnte ame) C. D t/o�G;D�ejiivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 17 ❑ Yes <br /> NAZISH HUSSAIN If YES,enter delivery address below: ❑ No <br /> RE: BLACKHAWK PETROLEUM INC <br /> 5611 E WATERLOO RD <br /> STOCKTON, CA 95215 <br /> Re: PR0520119 Rtn:VV <br /> (III III III II I III III II I III I I IIII I I 3. Service Type ❑Priority Mail sOO <br /> ❑Adult Signature ❑Registered Mail— <br /> aiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail© Delivery <br /> 9590 9402 6099 0125 5838 95 ❑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 0 Signature Confirmation- <br /> _ <br /> LlSignatureConfirmation <br /> 7020 1810 0000 3999 0234 Restricted Delivery Restricted Delivery <br /> 10) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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