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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0544428
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/6/2019 5:18:43 PM
Creation date
5/6/2019 4:59:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544428
PE
3528
FACILITY_ID
FA0004581
FACILITY_NAME
CHASE CHEVROLET*
STREET_NUMBER
423
Direction
N
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
423 N MADISON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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P 298 999 778 <br /> Receipt for <br /> Certified Mail <br /> No Insurance Coverage Provided <br /> Do not use for International Mail <br /> POSTAL SETNtiCE <br /> (See Reverse) <br /> srnt,� GERALD SPERRY <br /> fg1e GAjqQ5 CANAL BLVD <br /> STOCKTON CA a <br /> Cerh'ied Fee <br /> P specz,Dellcery Fee <br /> Pestncted Delivery Fee <br /> Reu.rn Rcoeipl Showing -O <br /> 6S to WC Unl&Date Delwered <br /> 6etcrn Rece p,Snow-ng to Whom. <br /> C Date.and Addressee's Address <br /> 7 <br /> —'1 TOTAL Postage <br /> O &Fees <br /> O Post pi or Date <br /> ODCn <br /> s <br /> E f` N <br /> o <br /> LL <br /> a ND I also wish to receive the <br /> • Complete items 1 endlor or additional services. tollOwirlg iC S for an extra v <br /> to • Complete items 3,and 4a&b. �{ 9n9 <br /> wPrint your name and address on the reverse of this form so that we can fee): � ,`� ��7� e <br /> m return this card to you. 1. ❑ Addressee's Address y <br /> • Attach this form to the front of the mailpiece,or on the back if space i+ <br /> does not permit. a <br /> ro • Write"Return Receipt Requested"on the mallpiece below the article number. 2. ❑ Restricted Delivery 0 <br /> L <br /> • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. CD <br /> o delivered. 4a. Article Number <br /> V 3. Article Addressed to: <br /> ., P 298 999 778 m <br /> m ATTN GERALD SPERRY 4b. Service Type cc <br /> CL <br /> o FREMAN BROWN HARTMAN & ❑ Registered Insured 0 <br /> SPERRY Z Certified ❑ CCD <br /> c <br /> y Return Receipt for 0 <br /> uyf 181$ GRAND CAN BLVD ❑ Express Mail ❑ Merchandise `o <br /> g 2U7 7. Date of Deliv�eJ y <br /> c STOCKTON CA r 7— 9 tt r <br /> a <br /> � 5. Signatu d s 8. Addressee' ddress{Only if requested ae <br /> and fee i id t <br /> r <br /> 6. Signature (Agent) <br /> TIC RETURN RECEIPT <br /> :I- PS Form 3 11, December 1991 *U.s.GPO-.l+lax—s23.4oz DOMES <br />
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