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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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6437
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2900 - Site Mitigation Program
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PR0526345
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
2/5/2019 3:57:12 PM
Creation date
2/5/2019 3:45:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0526345
PE
2957
FACILITY_ID
FA0017827
FACILITY_NAME
FLAG CITY SHELL
STREET_NUMBER
6437
Direction
W
STREET_NAME
BANNER
STREET_TYPE
ST
City
LODI
Zip
95242
APN
05532019
CURRENT_STATUS
01
SITE_LOCATION
6437 W BANNER ST
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
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EHD - Public
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■ Complete items 1,2,and 3.Also complete <br /> A Signature 0 Agent <br /> item 411f Restricted Delivery is desired. X 0 Addressee <br /> ■ Print your name and q address don the reverse <br /> so thatr�futHe b�bk°of to the you. B. Received b nn d Name) C 1 of ry t <br /> Attach t {bb tH btd�t"o rQ�g�7 6( 105- <br /> • <br /> or on the fronrif space permits. D. Is deliv add s different from Hem W O Yes <br /> t. Article Addressed to: <br /> If YES,a delivery address below: 0 No <br /> GIL MOOSE 3. ,ceType <br /> PRESIDENT $Certif etl Mail ❑Express Mali <br /> NEW WEST PETROLEOM 0 Registered 0 Return Receipt for Merchandise <br /> 1831 16TH STREET 95814 0 Insured Mail ElD.o.D. <br /> SAGRAMENTO CA Fee) 0 Yes <br /> 2. Article Number 7003 3110 0003 5254 4408 <br /> (rMsfer from sewic 11 <br /> Domestic Return Receipt 3/` a <br /> PS Form 3811,February 2004 t <br /> e -M-i560 <br /> ; <br />
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