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ARCHIVED REPORTS XR0000658
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2900 - Site Mitigation Program
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PR0522496
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ARCHIVED REPORTS XR0000658
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Entry Properties
Last modified
2/15/2019 8:06:41 PM
Creation date
2/15/2019 3:10:54 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000658
RECORD_ID
PR0522496
PE
2957
FACILITY_ID
FA0015317
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95245
APN
05532024
CURRENT_STATUS
02
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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SENDER: <br /> 3Z *Complete Items 1 and/or 2 for additional services. I also Wish to receive the <br /> ■Complete items 3, 4a, and 4b following services (for an <br /> ■Print your name and address on the reverse of thle form so that we can return this extra tee)' <br /> card to you 9 <br /> ■Attach this form to the front of the maflplece, or on the back if space does not 1, ❑ Addressee's Address <br /> ` permit <br /> ■Wnte'Retum Receipt Requested`on the mailptece below the article number 2 ❑ Restricted Delivery <br /> ■The Retum Receipt will show to whom the article was delivered and the date <br /> c delivered Consult postmaster for fee. <br /> 3. Article Addressed to: 4a. Article Number <br /> fe,j ��( rlJ � !�. � t , ` ti� � J� �- E <br /> 4b Service Type <br /> c ;, � '� ,��-` ❑ Registered Certified <br /> W � <br /> J.kl � • � [I Express Mall p Insured <br /> ` <br /> il. ,t ' '7 �r3 �'•%� � Retum Receipt for Merchandise ❑ COD <br /> , c <br /> 7 Date of Delivery »� <br /> p 5 Received By, (Pnnt Name) 8 Addressee's Address (Only if requested <br /> r_ ' � : and fee is paid) <br /> 6 Signature. (Addressee or Agent) / <br /> 4") <br /> PS Form 3811, December 1994 Domestic Return Receipt <br />
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