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COMPLIANCE INFO_1985-2005
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231614
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COMPLIANCE INFO_1985-2005
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Last modified
5/19/2021 12:53:34 PM
Creation date
6/3/2020 9:50:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-2005
RECORD_ID
PR0231614
PE
2361
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231614_500 W HOSPITAL_1985-2005.tif
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EHD - Public
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I ■ Complete items 1, 2, and 3. Also complete <br />item 4 if R is desired. <br />■ Print your resn�ievperse <br />�o that w r t ca t <br />■ dttach this car tote ack it iece, <br />or on the front if space permits. <br />Article Addressed to: <br />S J GENERAL HOSPITAL <br />PO BOX 1020 <br />SSTOCKTON CA95201 <br />A. Signature il <br />X �❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />1uf1V 1 9 2001 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. _Se% ce Type <br />f� 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 7032 2030 0003 8788 5285 <br />(Transfer from service label) <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 i <br />
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