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COMPLIANCE INFO_1997-2002
Environmental Health - Public
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EHD Program Facility Records by Street Name
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16500
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2300 - Underground Storage Tank Program
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PR0231554
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COMPLIANCE INFO_1997-2002
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Last modified
4/28/2021 4:00:13 PM
Creation date
6/3/2020 9:50:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1997-2002
RECORD_ID
PR0231554
PE
2361
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231554_16500 S HARLAN_1997-2002.tif
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EHD - Public
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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if 'c ve %r ;� <br /> ed. 1,rn ❑Agent <br /> ■ Print yo �dra reverse XAddressee <br /> So that r he ou. g. R eived by(Prite <br /> Name C. Da of D ivery <br /> Attach thl card o the baca mailpiece, ! ,� �i <br /> or on the front if space per 1� <br /> 1. Article Addressed to: D. Is delivery address different from item 1 ❑ <br /> If YES,enter delivery address below: ❑ No <br /> IJ i <br /> #A(f k5 ep NO I/ r� <br /> ILo!50o -E�. Uri Pio ?40Z <br /> !x/61 f►r dr) `�► 3. Sen b <br /> Id 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 7002 2030 0003 8788 8361 <br /> (Transfer from sere <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595.02-M-1540 <br />
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