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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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701
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3500 - Local Oversight Program
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PR0544217
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/4/2019 11:52:48 PM
Creation date
3/4/2019 4:23:52 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544217
PE
3526
FACILITY_ID
FA0002512
FACILITY_NAME
GSG GAS & MART
STREET_NUMBER
701
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734311
CURRENT_STATUS
02
SITE_LOCATION
701 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Z 128 784 303 <br /> 1 LC P—t.1 <br /> KHALDOON'OTHMAN r- <br /> K & S GAS AND GROCERY <br /> 701 E CHARTER WAY <br /> STOCKTON CA 95206 <br /> SEP 3 0'1999 <br /> rostage $ <br /> Certified Fee <br /> Special Delivery Fe <br /> RTIIt ive Fee <br /> LO <br /> Cn <br /> tum <br /> om& ivered <br /> n R m Receipt wing to Whom, <br /> Q Date, r ee's Address <br /> 0 TOTAL Postage&Fees Is <br /> Postmark or Date <br /> 0 <br /> ILL <br /> W <br /> d <br /> LS Co plate 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 /> m ■Print your name and ss on th r verse of this form so that we can return this extra <br /> card to you. 33 9 <br /> ■Attach this form t the fro the pi or on the back if space does not 1.❑ Addressee dbreSS � <br /> permit. <br /> r.Write'Retum Receip ueste n he mailpiece below the rti 1 r. 2.❑ Restricted Delivery <br /> C ■The Return Receipt will show to whom the article was deliveretli4 �a <br /> c delivered. Consult postmaster for fee. L <br /> 4a.Article Nu ber d <br /> KHALDOON OTHMAN l 6 , <br /> K & S 40LIS AND GROCERY 4b.Service Type ` c <br /> 701 E r-HARTER WAY <br /> I❑ RegExpress <br /> Mail ified <br /> STOCKTON CA 95206 I❑ Express Mail Insured <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery F <br /> 5. Received By: (Print Name) 0, <br /> 8.Addressee's ress (Only if requested <br /> and fee is pa c <br /> ca <br /> 6. Signature: (Addressee or Agent) n_ _ <br /> X S�"+L y G <br /> PS Form 3811,December 1994 102595-98-e-0229 <br /> OM <br /> estic Return Receipt <br />
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