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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0527093
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COMPLIANCE INFO_PRE 2019
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Last modified
1/5/2022 3:36:45 PM
Creation date
1/5/2022 2:40:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0527093
PE
2220
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Postal <br />CERTIFIED MAIL,. RECEIPT <br />,rf I nce Coverage Provided) <br />(Domestic <br />,, 1 <br />M <br />M <br />Postage $ <br />m Certified Fee postmark <br />Return Receipt Fee j <br />Here <br />(Endorsement Reqwred) <br />CD <br />Restricted Delivery Fee <br />M (Endorsement Required) <br />r- <br />rr <br />u Total P' FAST LANE CENTRAL VALLEY LLC — <br />a senrro ATTN: HARDEEP GILL <br />r -q111 HEALDSBURG AVE STE C <br />Cl Street, A{.--- <br />r- or POBc HEALDSBURG CA 95448-4039 <br />RTN.'['T <br />City, Stat RE: 116 E ROTH - UST & HW <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we :can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on thefrort`if space permits. <br />1. Article Addressed to: <br />FAST LANE CENTRAL VALLEY IA -C <br />ATTN: HARDEEP GILL <br />111 HEALDSBURG AVE STE C <br />HEALDSBURG CA 95448-4039 <br />RE. 116EROT1l-UST&HW P[N T"1' <br />2. Article Number 7011 2970 0003 91133 1,065 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-15 , <br />COMPLETE <br />,A. Sign t,re <br />X <br />❑ Agent <br />IRLAddresseF <br />-i3. c ' ed by Pri ted Name) <br />- Date Delivver <br />D. 'I's ]delivery address different from item 1? ❑ Yes <br />If YE9, enter delivery address below: <br />❑ No <br />04 ?of� <br />I <br />s reit <br />i <br />CertifiedpMai Stpress Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number 7011 2970 0003 91133 1,065 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-15 , <br />
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