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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4455
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1900 - Hazardous Materials Program
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PR0520990
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COMPLIANCE INFO
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Entry Properties
Last modified
11/22/2024 4:00:54 PM
Creation date
8/7/2018 10:46:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0520990
PE
1919
FACILITY_ID
FA0002469
FACILITY_NAME
KFC CORBIN 255
STREET_NUMBER
4455
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207-7601
CURRENT_STATUS
01
SITE_LOCATION
4455 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
EJimenez
Tags
EHD - Public
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M <br />0 <br />0 <br />Postage $ <br />Certified Fee <br />Return Receipt Fee Postmark <br />(Endorsement Required) Here <br />rLl <br />ED Restricted Delivery Fee <br />O (Endorsement Required) <br />C3 Total P ATTN RANDY LEINGANG <br />C3 <br />—0 FReccipien KENTUCKY FRIED CHICKEN4455 N PACIFIC AVE <br />C3 STOCKTON CA 95207 <br />■ Complete items 1, 2, e d. 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 the front if space permits. <br />AWN RANDY LEINGANG <br />KENTUCKY FRIED CHICKEN <br />4455 N PACIFIC AVE <br />STOCKTON CA 95207 <br />A. Signature <br />X 10 Agent <br />❑ Addressee <br />B. Received by (Printed Name) :j�`Date of Deliv <br />-k-1-\ <br />D. Is delivery ad fferent from item 1? ❑ Yes <br />If YES, enter t;l a fvE. <br />� No <br />APR — 6 Zoo; <br />SAN �?pQUIN COUNT <br />3. S ice Type <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 11Yes <br />2. Article Number <br />(Transfer from service label) 7��k.� <br />PS Form 3811, February 2004 Domestic Return <br />Receipt <br />102595-02-mt-1e40 <br />
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