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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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y NDER: I also wish to receive the follow- <br /> b o Complete or fo E�e?,or <br /> l ing services(for an extra fee): <br /> complete erne , <br /> ❑Prim your e a s f nn so that we can return this <br /> cam to you. U1t,, 1 9 �QQ� ai <br /> o Atlach this farm to the front of the on the back its oes not 1' ^dtlre55ee'S 7{tlyn+ss 4 <br /> Permit. O Restricted Delivery <br /> O Wme'Retum Receipt Requested°on the mailpiece be <br /> O The Return Receipt will show to whom the article w deli J C <br /> O delivered. <br /> 4a.Article b <br /> e $ <br /> KAREN PETRYNA ✓G� , �J <br /> E <br /> SHELL OIL CO C/O EQUILON NT LLC T <br /> �!�Ty <br /> P O BOX 6249 ❑Re re �eriffled <br /> `-'ARSON CA 90749-6249 p� ❑ Express ❑Insured c <br /> MfN Mitet eca erchandlse 111 COD <br /> 7.Date <br /> 0 <br /> 0 <br /> r <br /> b.necelvec rnnr rva�gr 8.Addressee's Address(Onl ffrequested and c <br /> x I"1 < N j�' fee is paid) IE <br /> c6.Signatu ddressee r entJ <br /> T <br /> N <br /> PS Form 3811,December 1994 102595-99-8-0223 Do stic Return Receipt <br />
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