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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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1876
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2900 - Site Mitigation Program
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PR0542421
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/21/2019 12:25:09 PM
Creation date
6/21/2019 10:07:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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m S ER: I also wish to receive the r II <br /> '■Complete nems t _ folkow' rvtces <br /> Compl (tor an <br /> f. ete items 3. a <br /> a PPont ard Y t name and a Je�do1 we can return this Sxtrd 31999 <br /> .Attach ttus loan to the front of the mallpisce.or on 1 1.❑ Addressee's Address <br /> pe""rt' 2.❑ Restricted Delivery <br /> ■Write"Return Receipt Requested'on the mailpl b e r. ry <br /> ■The Return Receipt will show to whom the amide v <br /> delivered Consult postmaster for fee. i <br /> 4a.Atli umber <br /> Gc <br /> MANUEL AND MARY SANCREZ i qb Service Type S E. <br /> Is <br /> STOC1633 .-WWALNUT ST <br /> STOGKTON CA 95203 j ❑ Registered m rtified <br /> C3 Express Mail Insured <br /> c <br /> ❑ Retum Receipt for dlss ❑ COD <br /> 7.Date of De' UR <br /> 5.Received By: (Print Name) B.Addre%A�ddr lI',r nested m <br /> endfe <br /> ' F V <br /> r g t) <br /> X <br /> } Ps 1,De mbar—1f94- Domes eturn Receipt <br />
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