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SITE INFORMATION AND CORRESPONDENCE FILE 1
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2103
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3500 - Local Oversight Program
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PR0544591
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/21/2019 2:38:17 PM
Creation date
6/21/2019 11:32:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0544591
PE
3526
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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U1T PX <br /> SENDER: I also wish to receive the <br /> .compete eeme 1 and/or 21 a following services(for an <br /> e •compete items 3,de,and4t <br /> m •Print your name and address ' *If.p.. <br /> retum this extra fe0 <br /> cerd to you. �I q �(���► <br /> •pApeettach this form to the front of the rr.,.isce,or ons rro1 1.❑ tDe5 <br /> •Wn2e Rewm Receipt Requested'on the maiipt d. e . 1 2.❑ Restricted Delivery <br /> tt •The Reetuurn Receipt will show to whom the artiG J Consult postmaster for fee. n <br /> IS ,4a.Artic <br /> RONALD BERBERIAN �L�JI '/7•/ <br /> E <br /> ART/RON BFRBAjfUN ETAL 4b.Service Type <br /> 2021 W MARCH-J& STE 2A ❑ Registered <br /> .�"Aertified 92 <br /> in STOCKTON CA 95207 ❑ Express Mail Insured Oct <br /> in <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date of Delivery , <br /> 5. Received By: (Print Name) 8.Addressee's ress(Only if requested Y <br /> !/rl G and fee is pa' <br /> 6. Signature:(AWressee O/Aye <br /> 'o X Q-A IIX <br /> 2 PS Form 3811,December 1994 1025959&6-0229 mestic Return Receipt <br /> Z 187 935 749 <br /> US Postal service <br /> Receipt for Certified Mail <br /> RONALD BERBERIAN <br /> ART/RON BERBERIAN ETAL <br /> 2021 W MARCH LN STE 2A <br /> STOCKTON CA 95207 <br /> ffiE <br /> re JUN _ <br /> al Delivery Fee <br /> cted Delivery Fee <br /> Receipt Showing to <br /> 8 Date DeliveredReceipt Showing to WhomAddressee's AddessL Postage 8 Fees $ <br /> ark or Dated �� .10#a <br />
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