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COMPLIANCE INFO_2003-2008
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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2300 - Underground Storage Tank Program
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PR0231216
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COMPLIANCE INFO_2003-2008
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Last modified
12/4/2023 2:32:22 PM
Creation date
6/3/2020 9:46:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2008
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231216_4511 PACIFIC_2003-2008.tif
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EHD - Public
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COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Si <br /> item 4 if R r I' X ❑Agent <br /> ■ Print your r r a verse ti ❑Addressee <br /> so that we t h o�� Rec ived by(Printed ame) C D e of livery <br /> ■ Attach Oils card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from Rem 1? ETYes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> WYATT FAMILY LTD PTP <br /> 6265 CROOKED STICK CIR <br /> STOCKTON CA 95219 3. Service Type <br /> /Certified Mail ❑Express Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7004 2510 0003 3789 2911 <br /> (Transfer from service label) - <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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