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COMPLIANCE INFO_2022
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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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/27/2022 8:09:01 AM
Creation date
1/7/2022 3:06:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231070
PE
2351
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
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SJGOV\gmartinez
Tags
EHD - Public
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Postal <br /> o RECEIPT <br /> Domestic <br /> •. <br /> u7 Certified Mail Fee ' <br /> r--1 $ Non- <br /> `o Extra Services&Fees(check box,add lee as <br /> F-1 Return Receipt(hardcopy) $ apPropriete) <br /> C3 El Return Receipt(electronic) $ <br /> ED ❑Certified Mail Restricted Delivery $_. () Postmark \ \� <br /> O ❑Adult Signature Required $ Here <br /> El Adult Signature Restricted Delivery$ -_ ��-`�p <br /> O Postage &\[� <br /> M $ COUNTRY CLUB MOBIL CIRCLE `� ZZ <br /> M Total Postage an <br /> $ <br /> 2575 COUNTRY CLUB BLVD <br /> r-9 sent To STOCKTON, CA 95204 <br /> ru <br /> $f eef anilApt!Vi <br /> f,- <br /> �iryi Wi,ziP+a Re: PR0231070 Rtn: LB <br /> :rr r i <br /> �r rrr•,. <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,aA' A. Sigaturq ( <br /> ■ Print your name,q he reverse X � 'i-+ L C• 1 �� ❑Agent <br /> so that we can rete t c Yd to you. I ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Daty of Del' ery <br /> or on the front if space permits. 'ZY ZZ' <br /> 1. Article Addressed to: D. Is delivery address different from item 1?.. ❑YeA <br /> COUNTRY CLUB MOBIL CIRCLE If YES,enter delivery address below: 0N <br /> 2575 COUNTRY CLUB BLVD <br /> STOCKTON, CA 95204 <br /> Re: PR0231070 Rtn: LB <br /> VIII III II I III III II I I I VIII VIII 3. Service Type ❑Priority Mailss® <br /> ❑Adult Signature ❑Registered Mailail*"'- <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 6099 0125 5589 09 O 0 Certified Mails Delivery <br /> ❑Certified Mail Restricted DeliveryReturn Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ElSignature Confirmation— <br /> Aail ❑Signature Confirmation <br /> 7021 0350 0000 81,5 0 1544 AZ Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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