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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3011
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2900 - Site Mitigation Program
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PR0530063
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 3:55:34 PM
Creation date
2/6/2019 3:42:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0530063
PE
2957
FACILITY_ID
FA0019769
FACILITY_NAME
FORMER SHELL GAS STATION
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
01
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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v <br /> ■ Complete items 1,2,and 3.Also complete A. Sign lure�/ <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and addres on the reverse X FFr"`""`------eee------°�� Addressee <br /> So that F�t r�tuRld to you. B. R eived p�(Print Name) C. D [e of D liv� <br /> ■ Attach t is card o the back of the,tpai�pip¢p, (/ e p b�� <br /> or on the front if space permits. U IV I I 1 V f 1') / <br /> D. Is YSa ( 3 1 Yes <br /> 1. Article Addressed to: If YES,e e I No <br /> MAR 1 12005 <br /> .JOHN KENDRICK 3. S�NiceType p AQN14ENT WEAUH <br /> CES <br /> 3011 WBENJAMIN HOLT DR pl Certified Mall ❑ Express Mail <br /> STOCKTON CA 95219 /❑RRegistered 0 Return Receipt for Merchandise <br /> ❑ Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article rfmber 7003 3110 0003 5254 4415 <br /> Grans/er/rom service label' <br /> Ps Form 3811,February 2004 Domestic Return Receipt 3 6° c; 5-02-M-1540 <br />
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