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SITE INFORMATION AND CORRESPONDENCE FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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D
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DR MARTIN LUTHER KING JR
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749
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3500 - Local Oversight Program
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PR0544218
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SITE INFORMATION AND CORRESPONDENCE FILE 2
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Entry Properties
Last modified
3/5/2019 9:50:04 AM
Creation date
3/5/2019 9:27:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0544218
PE
3526
FACILITY_ID
FA0003870
FACILITY_NAME
SRH FOOD & GAS
STREET_NUMBER
749
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
14734309
CURRENT_STATUS
02
SITE_LOCATION
749 E DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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Tags
EHD - Public
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COMPLETE THIS SECTION ON DELIVERY <br /> SENDER: COMPLETE THIS SECTION <br /> ■ Complete items 1 , 2, and 3. Also complete A A. Signature <br /> ❑ Agent <br /> Item 4 if Restricted Delivery Is desired. X 0 Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can r uritf tO you. B. Received by ( Printed Name Date of Deliypry <br /> ■ Attach `d`f space permits.t the mailplece, <br /> or on the ront <br /> D. Is delivery address different from hem 1? 0 Yes <br /> 1 . Article Addressed to: if YES, enter delivery address below: 0 No <br /> M YRANMAD RIZWAN <br /> 3360 N MOON AVENUE, 3. $$ Nlce Type <br /> STOCKTON CA 95204 �Certihed Mail 0 Express Mail <br /> Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mall 0 C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) 0Y <br /> 2. Article Number7003 3112 0003 525 <br /> (lFansler Irom service? lat>e0 <br /> PS Form 3811 , February 2004 <br /> Domestic Return Receipt 7//9 r, 7 oz-M-1540 <br /> ✓ I <br /> SENDER: <br /> I ■ Complete items 1 , 2, and 3. Also complete A. Signature <br /> Item 4 if Restricted Delivery is desired. X <br /> 5617q;? NLA90� <br /> ■ Print yoyrfKaIn jaMon the reverse ❑ Addressee <br /> so that yTt+r�QgQ to you. B, Received byWnfadNsM%b. C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, nt :* c / � <br /> or on the front If space permits. ^"" <br /> D. Is delivery addFess-d'BerentOmm hem 1? 0 Yes <br /> I. <br /> 1 . Article Addressed to: UNI) I V If YES, enter �ey � y addF9 below: 0 No <br /> OGS I <br /> tl rn � c U7 <br /> .• m — Z7 <br /> yam, x <br /> ROGER LISTON <br /> Pi <br /> DARPETRO INC 3. `Se�IMTypan� Z .. <br /> 19b9 REI) HAWK CIRCLE ID Cenified *1 � E ss Mail <br /> TUTRLOCUC CA 9$382 ❑``Registered ❑ Rim Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Del (Extra Fee) 0 Yes <br /> 2, Article Number 7003 3110 0003 5254 3661 <br /> (Bander from seMce lebeQ <br /> as-oz-Mns4o <br /> �/� <br /> PS Form 3811 , February 2004 Domestic Return Receipt WT LCL 1 " <br /> i. <br />
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