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COMPLIANCE INFO_2000-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1330
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2300 - Underground Storage Tank Program
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PR0515864
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COMPLIANCE INFO_2000-2009
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Last modified
1/19/2024 2:09:22 PM
Creation date
6/3/2020 9:59:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000-2009
RECORD_ID
PR0515864
PE
2361
FACILITY_ID
FA0012355
FACILITY_NAME
A&A GAS FOOD MART
STREET_NUMBER
1330
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120053
CURRENT_STATUS
01
SITE_LOCATION
1330 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0515864_1330 E YOSEMITE_2000-2009.tif
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EHD - Public
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■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delive is desired. <br />■ Pririt your name and ad s of r erse <br />so that we can return the and u <br />■ Attach this card to the ba of die mal piece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />BUZZINI, VINCE <br />4427 PEBBLE BEACH DR <br />STOCKTON CA 95219 <br />�I <br />A. <br />X ❑ Agent <br />❑ Addressee <br />�Iived by (Pring Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se ce Type <br />JACejjail ❑ Express Mail <br />V �gisstered ❑ Return Receipt for Merchandise <br />q.!rp,uftI04j00 C.O.D. <br />(Extra Fee) ❑ Yes <br />2. Article Number �1V1} 1 ivy <br />(Transfer from service lat 7002 203 003 8788 7722 <br />PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 <br />
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