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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0530849
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/13/2020 5:15:27 PM
Creation date
6/10/2018 11:45:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0530849
PE
1919
FACILITY_ID
FA0017709
FACILITY_NAME
ROUND TABLE PIZZA
STREET_NUMBER
2715
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
02742002
CURRENT_STATUS
01
SITE_LOCATION
2715 W KETTLEMAN LN STE 204
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
FRuiz
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\2715\PR0530849\COMPLIANCE INFO 2009 - 2015.PDF
QuestysFileName
COMPLIANCE INFO 2009 - 2015
QuestysRecordDate
10/31/2017 9:09:46 PM
QuestysRecordID
3712831
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Postal <br /> CERTIFIED MAIL RECEIPT <br /> (Domestic Mail Only;No Insurance Coverage Provided) <br /> M <br /> uT <br /> a- <br /> r` Postage $ <br /> 0 <br /> _11 Certlfietl Fee <br /> a <br /> Postmark <br /> ..e Return Receipt Fee Here <br /> (Endorsement Required) <br /> Rl <br /> C3 Restricted Delivery Fee <br /> (Endorsement Required) <br /> o T,teiP,eATTN JOE ROCCA <br /> C3 <br /> -0 ROUND TABLE PIZZA <br /> aeelPr•nt4 <br /> 4 1320 WILLOW PASS RD #60O <br /> c3 stoat,APiCONCORD CA 94520 <br /> 0 <br /> ------------- <br /> C3 CUy.Stare. --- <br /> r <br /> ■ Complete Items 1,2,....d 3.Also complete A. Signature <br /> Item 4 if Restricted Delivery is desired. gent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. R ived b (Printed Name) C.Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. 1i2/ <br /> D. Is delivery address different tram item 1? ❑Yes <br /> 1. Article Addressed to: <br /> ATTN JOE ROCCA If YES,enter deliv <br /> ary 0-Noaddress below: No <br /> ROUND TABLE PIZZA JUN 1 5 P009 <br /> 1320 WILLOW PASS RD #600 <br /> CONCORD CA 94520 <br /> 3. SS�e,,Nice' - : OF EMERGENCY SERVICES <br /> OVer iffed Mail O Eriprme Mail <br /> ❑Registered 0 Retum Receipt for Merchandise <br /> ❑ Insured Mail ❑C.O.D. <br /> --� 4. Restricted Delivery?(Ekfra Fee) 13 Yes <br /> 2. Article Number1^� (�,� <br /> Mansfer from service labeo 7600 0&6)o Flo AI007 9j <br /> PS Form 3811,February 2004 Domestic Return Receipt IM59502-WI540 i <br />
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