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COMPLIANCE INFO_2010-2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MOSSDALE
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2010-2015
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Last modified
12/28/2023 11:35:02 AM
Creation date
6/3/2020 9:51:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2010-2015.tif
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EHD - Public
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■ Complete ite complete <br />A. Signature <br />item 4 if R desired. <br />X ❑ Agent <br />■ Print your na n the reverse <br />❑ Addressee <br />So that we can r@tu to you. <br />■ Attach this card fo th the mailpiece, <br />or on the front if space <br />B. Received by (Printed Name) Date of Delivery <br />permits. <br />D. Is deliv f <br />6E)No <br />Yes <br />1. Article Addressed to: <br />ATTN PRITPAL DHILLON <br />If YES, e e o <br />MOSSDALE INVESTMENT LLC <br />OCT 2 8 2012 <br />44 CASTLE HILL CT <br />ROSEVILLE CA 95678 <br />3. Service pe <br />S <br />MaPaj p pnr3sps aiF <br />Ortified <br />Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 011 <br />(Transfer from service /abed <br />2970 0 0 0 3 913 3 1225 I <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 o2 -M t540 i <br />
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