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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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F = 2 <br /> US Festal <br /> Receipt for Certified Mail <br /> KHALDOON OTHMAN <br /> K & S GAS AND GROCERY <br /> 701 E CHARTER WAY <br /> STOCKTON CA 952o6 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> a Retim Receipt Showing to Wham, <br /> Q Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees $ <br /> E Postmark r <br /> LL <br /> ai SE I also wish to receive the <br /> • let i s nd/or 2 for additional services. follow)19,S�of(fOf�$(� <br /> fi ■ mplete items 3,4a,and 4b. extra f lqd 11U7�J� <br /> a) ■Print your name and address on the reverse of this form so at can return this y <br /> U <br /> acard to you. does n 1. ❑ Addressee's Address <br /> ■Attach this form to the front of the mailpi ce,or on the ba <br /> permit. Iry a 2. ❑ Restricted Delivery rn <br /> y ■ Pi Write'Return Receipt Requested'on t maya <br /> L ■The Return Receipt will show to who a�� �cl de ere and t a e Consult postmaster for fee. •� <br /> C delivered. U <br /> o Article Number c <br /> 3.Article Addressed to: C/y� // [� n� <br /> �/2 ` E <br /> V <br /> I <br /> KRALD00N OTAMAN 4b.Service Type <br /> E K & S GAS AND GROCERY El Registered Certified a: <br /> F- <br /> IX <br /> , 701 E CHARTER WAY ❑ Express Mail Insured H <br /> W S'T'OCKTON CA 95206 <br /> ❑ Return Receipt for Merchandise ❑ COD c <br /> n 7.Date of Delivery <br /> Q T <br /> ac 7;z <br /> uested <br /> Y <br /> 5.Received By: (Print Name) <br /> W6.Signature: (Addressee orAgent) <br /> 00, <br /> Ps Form 3811, December 1994 Receipt <br />
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