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SITE INFORMATION AND CORRESPONDENCE FILE 3
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1403
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2900 - Site Mitigation Program
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PR0505513
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SITE INFORMATION AND CORRESPONDENCE FILE 3
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Last modified
6/20/2019 4:31:03 PM
Creation date
6/20/2019 3:35:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 3
RECORD_ID
PR0505513
PE
2950
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
02
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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COMPLETE •N COMPLL TE THIS SECTIONDELIVERY <br /> ■ Complato iterns 1, and plete A. Signature <br /> item 4 iAgent <br /> ■ Print y it*' <br /> everse X ❑Addressee <br /> so that a B. ec ' e y(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, "t�/ f -7 <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? Yes <br /> 1. Article Addressed to: If YEJREjGNLMftn❑No <br /> Sam Hirbod <br /> My Goods Market OCT 06 2ui4 <br /> 7180 Koll Center Pkwy., Suite 100 <br /> Pleasanton, CA 94566 3, RegistWel <br /> T��TN <br /> um ecelpt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> kc-" 1K-03 (OA J '*f �w� 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7013 2250 0000 3397 8017 <br /> (Transfer from service labeo <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item if t' ted liv ired. ❑Agent <br /> ■ Print u dd the reverse <br /> ❑Addressee <br /> so th th a o you. e. eived b nted Name) C.-Date of Delivery <br /> ■ Attac is card to the back o the mailpiece, <br /> or on t front if space permits. <br /> D. Is dellvery address different fro em l? ❑Yes <br /> 1. Article Addressed to: If YES,en --o <br /> No <br /> EFTLEGE <br /> Phillips 66 Company <br /> c/o Sharon Evans OCT 0 6 <br /> 1380 San Pablo Ave. <br /> Rodeo, CA 94572 s. I�cIce <br /> ertifi � W H!�.� <br /> ❑Registered %9Mor Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> Rt• i yo3 (Ot,,4 CUAS S 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7013 2250 0000 3397 7997 <br /> (Transfer from service labei) a- - <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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