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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
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DSedra
Tags
EHD - Public
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R ■Compl ite or 2 for additional servic s. to receive the <br />N ■Comp to items 3, 4a, and 4b. l� followin services (for an <br />v ■Print your name and address on he reverse f is form s�he <br />hat we can return this <br />card to you. extra y <br />j ,, ■Attach this form to the front of them i es not 1. ❑ Addressee cess v <br />permit. ((// <br />y ■ Write'Return Receipt Requested' on them piece below article number. 2. ❑ Restricted Delivery N <br />.t. ■The Return Receipt will show to whom the article was delivered and the date <br />delivered. Consult postmaster for fee. °- <br />IVERN AND ROGER BAFFONI <br />1175 ORANGEWOOD DR <br />LODI CA 95240 <br />4a. Article Number <br />q&r <br />E <br />4b. Service Type <br />❑ Registered <br />E�Certified <br />m <br />¢ <br />❑ Express Mail <br />❑ Insured5 <br />rn <br />.y <br />❑ Return Receipt for Merchandise <br />❑ COD <br />o X <br />>rAA i <br />U) <br />_ <br />L 5, deceived B : (Print Name) <br />7. Date of Delivery <br />w <br />0 <br />>1 <br />8. Addressee's ress (Only if requested <br />and fee is p td) <br />t <br />C0I <br />3 6. ign : (Addressee or gent) <br />o X <br />>rAA i <br />U) <br />PS For 381 f becem r 1994 <br />Domestic Return Receipt <br />
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