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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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01, <br /> ■ Complete items 1,2,antl 3.Also complete A. Signature <br /> • • , <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print our��ggy��rrpp�� ,qq ej,��gon the reverse �jl .p ❑Agent <br /> so th t v�U'Yi:�htre�dr�td to you. Addressee <br /> ■ Attach this card to the back of the mallplece, 8' R�1°�by noted N <br /> or on the front if space permits. : �dei C, Date of Delivery <br /> NIT IV �L'z3/ ps- <br /> 1. Article Addressed to: D. Is del ry atldress tlifferent from Nem 19 ❑Yes <br /> If YES,enter delivery address below: 0 No <br /> LILVAL PROp�TIES LTD <br /> P 0 BOX <br /> 7576 3. Service Type <br /> STOCKTON CA 9526 /�y'{�certified Mall ❑Express Mail <br /> 11 Registered 0 Return Recelpt for Merchandise <br /> 0 Insured Mail ❑C.O.D. <br /> 4, Restdcted Delivery?(EMra Fee) <br /> 2. Article Number ❑Yes <br /> (transfer from service 1,, 7003 3110 0003 5254 4385 <br /> PS Form 3811.,February 2004 Domestic ReNrn geceip / <br /> � �L -15ao <br />
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