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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0508132
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
10/4/2018 3:04:48 PM
Creation date
10/4/2018 2:49:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0508132
PE
2957
FACILITY_ID
FA0007953
FACILITY_NAME
CHEVRON #9-5775
STREET_NUMBER
301
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04514002
CURRENT_STATUS
01
SITE_LOCATION
301 KETTLEMAN LN
P_DISTRICT
004
QC Status
Approved
Scanner
DSedra
Tags
EHD - Public
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■ 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 theNNif 2)4e 2@ffls. UNIT IV <br />Article Addressed to: <br />BOB COCHRAN <br />CHEVRON PRODUCTS CO <br />P 0 BOX 6004 <br />SAN RAMON CA 94583-0904 <br />2. Article Number (Copy from service label) <br />A. Rgceived by (Please�Clearly)' I B. Date of Delivery <br />C. Signature A <br />X V,A <br />D. Is delivery address different from item 1? <br />If YES, enter delivery address below: <br />❑ Agent <br />❑ Addressee <br />❑ Yes <br />41kNo <br />3. Service Type <br />Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />PS For811 July, 1999 Do e tic Retu nt Becei <br />
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