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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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W
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4987
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2200 - Hazardous Waste Program
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PR0513935
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COMPLIANCE INFO
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Entry Properties
Last modified
6/9/2020 8:58:13 PM
Creation date
6/3/2020 9:21:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0513935
PE
2227
FACILITY_ID
FA0003969
FACILITY_NAME
PEP BOYS #711
STREET_NUMBER
4987
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10416027
CURRENT_STATUS
01
SITE_LOCATION
4987 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\HW\HW_2227_PR0513935_4987 WEST_.tif
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EHD - Public
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plete <br />■ Complete items 1, 2, and&SWO. <br />iter�l4 if Restricfed <br />A. <br />,iv■ <br />Print yourname and`addverseso <br />that we!can return the■ <br />AU. zh this card to the baiipiece, <br />or on the front if space permits. <br />D. <br />1. Article Addressed to: <br />PEP BOYS AUTO <br />ATTN: ANGELA BANKS <br />3111 W ALLEGHENY AVE <br />PHILADELPHIA PA 19132-1116 <br />RE: 4987 WEST LN RTN: AC <br />❑, Agent <br />i E Addressee <br />by rin ame) C. Dat of Delivery <br />I t WmLWA 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />-�U V 2 a 2009 <br />ENUiRUNMENT HEALTH <br />3. Type <br />ified Mail o Express Mail <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article rfromNumbe7008 1,830 0004 8693 8874 <br />(transfer from service label) <br />IPS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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