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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0538843
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
10/22/2018 5:30:22 PM
Creation date
10/22/2018 4:36:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0538843
PE
2957
FACILITY_ID
FA0022310
FACILITY_NAME
RALPH SQUARE
STREET_NUMBER
2122
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16916201
CURRENT_STATUS
01
SITE_LOCATION
2122 S AIRPORT WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
WNg
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EHD - Public
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0 <br />Z 128 784 468 <br />US Postal Service <br />Receipt for Certified Mail <br />DI DATD- <br />t <br />■ Complete items 1, 2, and 3. Also complete A, <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we ca returp� card to you. C. <br />■ Attacd Nca"d 1� t15 k of the mailpiece, X <br />or on`'fthe front if space permits. <br />1. Article,addressed to <br />RALPH LEE WHITE <br />RALPH'S SQUARE <br />2230 S AIRPORT WAY <br />STOCKTON CA 95206 <br />2. Article Number (Copy from service label) <br />Clearly) B. Date of <br />/ ❑ Agent <br />❑ Addressee <br />Is del address from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se 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) ❑ Yes <br />PS Form 3811,/ul 99 o Domesti Return Receipt <br />V <br />1 <br />0 <br />RALPH'S SQUARE <br />s 2230 S AIRPORT WAY <br />P STOCKTON CA 95206 <br />Postage <br />$ <br />Certified Fee <br />Special Delivery Fee <br />Restricted Delivery Fee <br />LO <br />rn <br />Return Receipt Showing to <br />Whom & Date Delivered <br />n <br />Retum Receipt Showing to Whom, <br />Q <br />Date, & Addressee's Address <br />O <br />0 <br />co <br />TOTAL Postage & Fees is <br />EPostmark <br />or Date <br />8 <br />LL <br />(L <br />t <br />■ Complete items 1, 2, and 3. Also complete A, <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we ca returp� card to you. C. <br />■ Attacd Nca"d 1� t15 k of the mailpiece, X <br />or on`'fthe front if space permits. <br />1. Article,addressed to <br />RALPH LEE WHITE <br />RALPH'S SQUARE <br />2230 S AIRPORT WAY <br />STOCKTON CA 95206 <br />2. Article Number (Copy from service label) <br />Clearly) B. Date of <br />/ ❑ Agent <br />❑ Addressee <br />Is del address from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se 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) ❑ Yes <br />PS Form 3811,/ul 99 o Domesti Return Receipt <br />V <br />1 <br />0 <br />
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