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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MARIPOSA
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13521
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1900 - Hazardous Materials Program
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PR0520294
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
1/10/2025 4:57:44 PM
Creation date
1/10/2025 4:54:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0520294
PE
1921 - HMBP-Regular-Primary Location
FACILITY_ID
FA0001457
FACILITY_NAME
COLLEGEVILLE MARKET & CAFE
STREET_NUMBER
13521
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
18306007
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
13521 E MARIPOSA RD STOCKTON 95215
Tags
EHD - Public
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I C i. t <br />X <br />JAN 0 8 2025 <br />PS Form 3800, January 2023 PSN 7530-02-000-9047 See Reverse for Instructions <br />COMPLETE THIS SECTION ON DELIVERYSENDER: COMPLETE THIS SECTION <br />a <br />o <br />So <br />:k Ol <br />$$ <br /> Yes <br /> No <br />ru <br />tn <br />zr <br />ca <br />cQ <br />O <br />zr <br />eO <br />D <br />ir <br />rd <br />LT) <br />IT <br />COLLEGEVILLE MARKET CAFE <br />13521 E MARIPOSA RD <br />STOCKTON CA 95215-9683 <br />RE: PR0520294-HMBP RTN: MS <br />D. Is delivery address different from Item 1? <br />If YES, enter d^iwry <br /> Agent <br /> Addressr <br />C. Date of B ' <br />lilllllllllllllllFIIIIIIIIIIIIIIIIIIIIIIII <br />9590 9402 7574 2098 7962 37 <br />2. Article Number (Transfer from service label) <br />ot\ the reverse <br />□f the mailpiece, <br />■ Complete items 1,2, and 3. <br />■ Print your name and addrt <br />so that we can return the <br />■ Attach this card to the bar <br />or on the front if space permits. <br />1. Article Addressed to: <br />mat V z/l , I <br />IL-^—— Postma ^7^ ' <br />M L N I’A 1-hMiorit^ M^rtExpress® <br />WultSignature n|.’ 1»A RTMENSgistered Mail™ <br /> Registered Mail Restricted <br />. Delivery <br />/^Signature Confirmation™ <br /> Signature Confirmation <br />Restricted Delivery <br />U.S. Postal Service™ <br />CERTIFIED MAIL® RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.coma. <br />COLLEGEVILLE MARKET CAFE <br />13521 E MARIPOSA RD <br />st^anifAf STOCKTON CA 95215-9683 <br />'City,'State, Z RE: PR0520294-HMBP RTN: MS <br />A. Signature <br />B. Recejyed-byTPmtted Name) <br />Certified Mail Fee <br />$______________ <br />Extra Services & Fees (checkbox, add. <br /> Return Receipt (hardcopy) <br /> Return Receipt (electronic) <br />Q Certified Mail Restricted Delivery $ <br /> Adult Signature Required $ <br /> Adult Signature Restricted Delivery $ <br />Postage <br />$____ <br />Total Postag <br />$__ <br />Sent To <br />3. i <br /> Adult Signature <br /> Adult Signature Rl <br />■^Certified Mall® <br />‘□certified Mail Restricted Delivery <br /> Collect on Delivery <br />| Collect on Delivery Restricted Delivery <br />H 5 a 5 071 527D Dam DaaM □□ ^Delivery ______ <br />PS Form 3811, July 2020 PSN 7530-02-000-9053 u Return Receipt
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