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COMPLIANCE INFO_1985-1999
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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PR0231476
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COMPLIANCE INFO_1985-1999
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Last modified
2/9/2024 12:55:06 PM
Creation date
6/23/2020 6:48:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-1999
RECORD_ID
PR0231476
PE
2361
FACILITY_ID
FA0000684
FACILITY_NAME
QUIK STOP MARKET #3125
STREET_NUMBER
1580
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
259-090-21
CURRENT_STATUS
01
SITE_LOCATION
1580 W MAIN ST
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231476_1580 W MAIN_1985-1999.tif
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EHD - Public
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>ENULK: ,'-(-t UV / F -p " l j� V WWtJ <br />■ Complete items 1 an r 2 for ad itional s me s. <br />■Complete items " 4b. <br />■ Print your name an ess on the reverse of this form so that we can return this <br />card to you. <br />■Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />■Write'Retum Receipt Requested' on the mailpiece below4 9!=!�thed. <br />■The Return Receipt will show to whom the article w r <br />delivered., `. <br />3. Article Addressed to: <br />LARRY KRONICH <br />QUICK STOP MARKETS <br />4567 ENTERPRISE STR <br />FREMONT CA 94538 <br />Z <br />W <br />5. Re ei : (Print Name) <br />W <br />6. re e or Agent) <br />°a. <br />orm 3811, December 1994 <br />14a. <br />estrwlsh to receive the <br />e (for an <br />7�bAddrefte <br />eTs ddressstricted livery M ter or fee. <br />d <br />31°-7l59jj <br />e <br />Gr <br />Gr'Certified <br />I ❑ Insured <br />N <br />I for Merchandise ❑ COD <br />MW i n <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />
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