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SITE INFORMATION AND CORRESPONDENCE_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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 s 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, RENS <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: Plant Properties LLC, 4895 S. Airport Wa Stockton California 95206 <br /> Postal <br /> ti <br /> CERTIFIED <br /> M (Domestic Mail Only; Provided) <br /> r` For delivery information visit our website at www.usps.comr, <br /> M <br /> ,a <br /> Er' Postage $ <br /> M Certified Fee <br /> C3 Postmark <br /> C3 Retum Receipt Fee <br /> r3 (Endorsement Required) Here <br /> Restricted-DeRverY Fee <br /> E3 (Endorse <br /> Ir Total F Mr.Jerry Moore <br /> ru <br /> ra r o Moore Petroleum <br /> ra 885 Portofino Drive <br /> �raar; <br /> r` or POE Brentwood, CA 94513-6539 <br /> r'.%f);$rale,crty .___ <br /> :11 11. <br /> OMPLETE THIS SECTIONI ON DELIVERY <br /> ■ Complete Items 1,2,and 3.Also completere— <br /> item 4 If Restricted Delivery Is desired. _. �„ ❑Agent <br /> ■ Print your name and address on the reverse - ❑Addressee <br /> so that we can return the cardA(Woll B. Received by(PrintedWame) C. Date Qf Delivery <br /> ■ Attach this a .tot e- o ilpiece, <br /> or on the nt it <br /> D. d rent from Item 1? ❑Yes <br /> 1. Article Add If YES, nter delivery address below: ❑ No <br /> • SEP 12 2013 <br /> Mr. Jerry Moore E ONMENTAL HEALTH <br /> 885 Portofino Drive 3. s Ice Type <br /> Brentwood, CA 94513-6539 certified Mau ❑Express Man <br /> ❑Registered 13 Return Receipt for Merchandise <br /> Re:5491 F St 7011297000039133743213Insured Mail E3C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7011 297❑ 0003 9133 7432 <br /> (Transfer from serv/ce label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02*f <br />
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