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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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1856
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2200 - Hazardous Waste Program
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PR0518332
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/6/2022 10:12:45 AM
Creation date
8/2/2021 3:44:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0518332
PE
2220
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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-AWN <br /> i <br /> COMPLETE •N COMPLETE THIS SECTIONON <br /> ■ Complet 't A. Signature <br /> ■ Print you rcof1hreverse X ❑Agent <br /> so that w �LI�t� ��� CI Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item' ❑Yes <br /> AH M E D M UTHAN NA If YES,enter delivery address below: ❑ No <br /> � RE: STOP N SHOP RECEIVED 1856 W COUNTRY CLUB BLVD <br /> STOCKTON, CA 95204 (/�� <br /> Re:PR0518332/PR0521222/PR0231069 Rtn:LB DEC 0.7 2021 <br /> 3. Service Type ❑Priority Mail Express® <br /> IIIIIII'II�IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII ❑Adult =R'QAUa ,ITA�i estrlcted <br /> ❑Adult <br /> Certified Mal nC p D livery <br /> 9590 9402 6099 0125 5831 47 ❑Certified Mail Restiti•tic P RTME*I.rn Receipt for <br /> ❑Collect on Delivery chandise <br /> 2. Article Number(transfer from 3?rVIrR lahall ❑Collect on Delivery Restricted Delivery 0 Signature Conflrmationrm <br /> Nail ❑Signature Confirmation <br /> 7021 0 3 5 0 0000 815 0 0622 Nail Restricted Delivery Restricted Delivery <br /> I .,JD) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> � I <br /> 1 J <br /> 'Y <br /> n <br /> I <br /> 1� <br /> Z <br /> i <br /> I <br /> tE <br />
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