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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2200 - Hazardous Waste Program
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PR0527093
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COMPLIANCE INFO_PRE 2019
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Last modified
1/5/2022 3:36:45 PM
Creation date
1/5/2022 2:40:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0527093
PE
2220
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Postal <br />CERTIFIED MAIL RECEIPT <br />.0 (Domestic <br />rru <br />-iCIAL USE <br />= 7, -, �, III <br />M <br />�j <br />M Postage $ <br />Certified Fee <br />� Return Receipt Fee Postmark <br />EM (Endorsement Required) Here <br />O Restricted Delivery Fee <br />O (Endorsement Required) <br />U -I <br />fU Total Post; <br />FAST LANE CENTRAL VALLEY LLC <br />Cr-enf o 111 HEALDSBURG AVE <br />C-3 Sheet, Apt i HEALDSBURG CA 95448-4039 <br />or PO Box A <br />City, State, : RE: 116 E ROTH RD <br />RTN:MH <br />tri August 2006 See Reverse for Instructions <br />■ Complete items 1, 2, and 3. Also complete signatu <br />Item 4 if Restricted Delivery is desired. ❑ Agent <br />■ Print your name and address on the reverse X ❑Addressee <br />so that we can return the card to you. . Received by (panted Name) C. Date of Delivery <br />■ Attach this card to the back of,the.mallpiece, <br />or on the front if space permits. 17 <br />(e5 i .. m 11 ❑ Yes <br />1, Article Addressed to. K�lf T-- a ivery address below: 0 No <br />2010 <br />FAST LANE CENTRAL VALLEY LLC <br />ENVIRUNIu,tf1 T HE LTH <br />111 HEALDSBURG AVE <br />HEALDSBURG CA 95448-4039 <br />3. ` <br />Certified Mail ❑ Express Mail <br />RE: 116 E ROTH RD RTN, W1 <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery (Extra Fee) ❑ Yes <br />2. Article Number 7009 2250 0001 8334 2666 <br />(transfer from service label) -- <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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