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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231604
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/10/2022 2:59:31 PM
Creation date
6/29/2022 2:37:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231604
PE
2361
FACILITY_ID
FA0000650
FACILITY_NAME
GAS & SHOP
STREET_NUMBER
1002
STREET_NAME
FRONTAGE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
26102012
CURRENT_STATUS
01
SITE_LOCATION
1002 FRONTAGE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Postal <br /> CERTIFIED MAILRECEIPT <br /> D <br /> '" Domestic Mail • <br /> nlya <br /> 0 <br /> Lr) Certified Mail Fees <br /> Extra Services R Fees(check box,add lee as apprcpdate) <br /> O ❑ <br /> Return Receipt(hardcopy) $ <br /> ❑Return Receipt(electronic) $'(�U\ Postmark <br /> ED <br /> 0 ❑Certified Mail Restricted Delivery $ Here <br /> C3 ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery$ <br /> O Postage- <br /> U-11 <br /> ostageu'I $ <br /> M <br /> Total Postage ar TOM SABER I <br /> $ 1045 AIRPORT BLVD <br /> r-q Sent To <br /> r SOUTH SAN FRANCISCO, CA 94080 <br /> Street and Apt N <br /> rt i <br /> CW,,State,ziP+a Re: PR0231604/PRO519551 Rtn: KS <br /> t �r rrr <br /> COMPLETE • COMPLETE <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your narrre and Iddress dp.the reverseX Agent <br /> so that we can return the cardio you. ❑Addressee <br /> ■ Attach this card to fie back 0the mailpiece, B. Received b nted ame . Date elivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 19 es <br /> TOM SABER] If YES,enter delivery address below: No <br /> 1045 AIRPORT BLVD <br /> SOUTH SAN FRANCISCO, CA 94080 APR 13 zut <br /> Re: PR0231604/PRO519551 Rtn: KS r 9(:1TA R3. <br /> II I IIII�I I�I I�I I IIIIII�I II I I II IIIlIII I I I III Service Type ❑Priority Mail Express® <br /> C1 <br /> ❑Adult Signature El Registered Mail*"' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 6099 0125 5589 54 'Certified Mail® Delivery <br /> ❑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 ❑Signature Confirmation- <br /> - <br /> lail ❑Signature Confirmation <br /> 7021 0350 0000 815 0 1483 fail Restricted Delivery Restricted Delivery <br /> o) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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