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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/2/2022 11:51:23 AM
Creation date
3/23/2022 2:57:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Postal <br />RECEIPTCERTIFIED MAIV <br />m Domestic <br />C11 <br />7" <br />U <br />� 70�RtumR <br />Fees (check vox add fee'as eeeepppppppp����0000AAAAe �j,� <br />hardcopy) $•" Q electronic) $ W W <br />Q ❑ Certified Mall Restricted Delivery $ 1 O mark <br />Q `Y 1 ' — Here <br />❑Adult Signature Required $ <br />❑ Adult Signature Restricted Deilvery $ <br />ED Postage <br />rn <br />co <br />r-9 TetalF GTY PACIFIC LEASING LLC <br />-o sent, 292 MADISON AVE FL 9 <br />Sent NEW YORK, NY 10017 <br />RE: PR0521815/PRO231995/PRO519640 RTN: VVL <br />UW,, S ---------- <br />'COMPLETE SECTION <br />SECTION <br />■ Complete items 1, 2, and 3. <br />■ <br />A. Sicimatufe <br />Print your name and address on the reverse <br />so that we can return the <br />X �r / <br />v ❑ Agent <br />card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space <br />i <br />B•r$e/c!ved,ryb��y rnfed Name 13 Addressee <br />) C. Date of Delivery <br />permits. <br />1. Article Addressed to: <br />by <br />D. Is delivery adc lreA different from item 1? ❑ Yes <br />If YES, enter delivery address below: <br />G,TY PACIFIC LEASING LLC <br />❑ No <br />292 MADISON AVE FL 9 <br />AOG 11 20?? <br />NEW YORK, NY 10017 <br />RE: PR0521815/PRO231995/PRO519640 RTN: VVL3. <br />itIIIIIII <br />(III (IIIIII <br />II IIIIIIIIIIII IIIIIIIII <br />III <br />Service Type 11 <br />9590 9402 4394 8248 2705 53 <br />❑ Registered ered MailTMSS® <br />❑ dU S)gnatureeRes <br />Restricted Delivery ❑Registered Mail Restricted <br />Certified Mal® <br />2. Article Number (Transfer from service label) <br />Delivery <br />❑ ertified Mail Restricted Delivery ❑ Retum Receipt for <br />❑ Collect on Delivery; ... Merchandise <br />❑ Collect <br />on naii,rery Restricted Delivery ❑ Signature ConfirmationTm <br />7018 1, $ 3 D` 0 0 0 1, 6176 <br />8434 11 Signature Confirmation <br />aricted Delivery Restricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />V " WJVV <br />Domestic Return Receipt <br />
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