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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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1267
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2900 - Site Mitigation Program
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PR0505602
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/20/2019 2:46:40 PM
Creation date
6/20/2019 1:39:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505602
PE
2950
FACILITY_ID
FA0006891
FACILITY_NAME
BANK OF THE WEST
STREET_NUMBER
1267
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
11304217
CURRENT_STATUS
02
SITE_LOCATION
1267 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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MkLEV 3 5- <br /> receipt for <br /> Certified N <br /> 11@01 � No Insurance <br /> rfcos�FS Do not use `led <br /> (See Rev `Q <br /> Sent to �! <br /> Street and No Go <br /> P.O, Satr � <br /> Post- Qv <br /> .� eP <br /> Showing <br /> �Y Oate Delivered `O <br /> U Re, eceipt Showing to Whom <br /> 2 Date,end Addressee's Address <br /> TOTAL Postage <br /> C &Fees <br /> C Postmark or Date <br /> d0 <br /> t'9 <br /> u- <br /> U)to <br /> d <br /> n. <br /> SE <br /> m • C71el. <br /> o 2 r ad rtio service <br /> a so wish to receive the <br /> • Cems 3,and 4a 8,0b. 995, v <br /> yPrint your name and address on the reverse a we can EDg SerYlp9sT(10r Aril <br /> W return this card to you. �J V t J lJ i <br /> >y • Attach this form to the front of the mailpiec n e ba space 1. ❑ Addressee's Address <br /> ` does not permit. ., <br /> t • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery •21 <br /> • • The Return Receipt will show to whom the article was delivered and the date U <br /> c delivered. Consult postmaster for fee. ty <br /> 3. Article Addressed to: 4a. Article Number <br /> w.J11.2 <br /> 4b. Service Type m <br /> El Registered ❑ Insured <br /> MARY TUCKER a� <br /> SHELL OIL PRODUCTS CO TSP 1133%rtified ❑ COD H <br /> Express Mail ❑ Return Receipt for = <br /> P O BOX 2009 _ Merchandise o <br /> HOUSTON TX 77252 7 Date of Delivery <br /> 0 <br /> Z _ 8. Addressee's Ac1dress (Only if requested Y <br /> 5. Sig ature IAddressee) <br /> and fee is 1 <br /> 6. Sign re nt) ~ <br /> PS Form 3811, December trU4 GPO:r 'URN RECEIPT <br /> 41 <br />
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