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SITE INFORMATION AND CORRESPONDENCE_FILE 2
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545028
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
12/6/2019 5:05:08 PM
Creation date
12/6/2019 2:55:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545028
PE
3528
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Former Moore Petroleum <br /> 5491 F Street Page 2 <br /> Banta, CA 95304 September 6, 2013 <br /> This notice is issued pursuant to subdivisions (h) & (i) of Section 25296.10, CHSC. Please contact our <br /> office at (209)468-3450 if you have any questions regarding this matter. <br /> Sincerely, <br /> Donna Heran, REHS <br /> Director <br /> c: James L. L_ Barton, PG, CVRWQCB, Underground Storage Tank Unit, 11020 Sun Center Drive <br /> #200, Rancho Cordova, CA 95670-6114 <br /> Other Responsible Party(ies): <br /> c: Mr. Jerry Moore, Moore Petroleum, 885 Portofino Drive, Brentwood, CA 94513-6539 <br /> Postal <br /> CERTIFIED MAIL. RECEIPTrr <br /> -..r (Domestic Mail Only, .- <br /> f� For delivery information <br /> visit our website at www.usps.come <br /> rn C L <br /> RUSEM <br /> Er r-� Postage $ <br /> M Certified Fee <br /> O Postmark <br /> 10 Return Recelpt Fee Here <br /> (Endorsement Required) <br /> Restricted Delivery Fee <br /> O (Endorsement Required) <br /> 171- <br /> far^ Total Pc <br /> Plant Properties LLC i <br /> ,a Sent To 4895 S.Airport way - <br /> o Street,Ap Stockotn,CA 95206 --- <br /> or PO Bor <br /> Re:5491 F St 70112970000391337449 -- <br /> 4 t <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> j ■ Complete items 1,2, *Von <br /> lso complete A• ature ,- � � <br /> item 4 If Rests Delpdesired. /f 13 Agent <br /> ■ Prin y ur adthe reverse X ��(`�� T0 Addressee <br /> so t er?i turn the card to you. B. R ceived y(P rated Name) C. Date of Delivery <br /> ■ Attach his card to the back of the mailpiece, <br /> or on the front If space permits. <br /> Ii different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> F <br /> P 10 2013 <br /> Plant Properties LLC ENV1R <br /> MENTAL HEALTH <br /> P e e ype <br /> 4895 S.Airport Way Certified Mall 13 Express Mall <br /> Stockow, CA 95206 ❑Registered 13ReturnReceipt for Merchandise <br /> ``. Re:5491 F St 70112970000391337449 ❑Insured Mall ❑C.O.D. <br /> l <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> ( 2."Article Number 7011 2970 0003 9133 7449 1 <br /> (rransfer from service labeq -- <br /> PS Form'3811,February 2004 Domestic Return Receipt 1025955-o2-M-1540'I <br />
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