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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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n. also wish to receive the <br /> mm <br /> a $ andior for additional s vices. following services (for an extra u <br /> m • Complete items 3,and 4a 8 b. we an ly �pD SUM <br /> .�- <br /> r L APR t,�i lC y <br /> Print your name and address on the revers of�t/Iy�. 7Addr eSee s r N <br /> Scorn this card to ypu. r [h a e +, <br /> � • Attach this form to the front of the mailp ce f a <br /> does not permit. 2, ❑ Restricted Delivery •U <br /> • "Return Receipt Requested"on the mailpiece bel the article number. <br /> Write <br /> • <br /> The "Reteturn Receipt will shoes to whom the article was delivered and the date Consult postmaster for fee. <br /> c delivered. Article Number ` <br /> m 3. Article Addressed to: <br /> n ROBERT BERBERIAN 0 Service Type x <br /> E ❑ Registered ❑ Insured c <br /> 0 ART/RON BERBERIAN ETAL Certified ❑ COD <br /> 0 2021 W MARCH LN STE 2A Express Mail ❑ Return Receipt for <br /> N ;STOCKTON CA 95207 Merchandise 0 <br /> W r <br /> 7. Date of Delivery 0 <br /> 0 T <br /> Q 8. Address e' Address(Only if requested c <br /> 5.(Si toe p are e) and fee s 'd) m <br /> F <br /> f <br /> cc 6. Signature (Agent) <br /> 7 <br /> > PS Form 3811, December 1991 RU.s.GP0:1ae3—a6Z'Tt4 DO RETURN RECEIPT <br /> N <br /> P 321 093 360 <br /> �S postal�14�ED APR 1�199E <br /> anrein+far (`prtifiod Mail.�.. -- <br /> ROBERT BERBERIAN <br /> ART/RON BERBERIAN ETAL <br /> 2021 W MARCH LN STE 2A <br /> STOCKTON 0A95207 �[PostageCertified FeeSpecial Delivery FRestricted DeliveryRealm Receipt Sh /O whom 6 Date Deln Rehm Receipt ShowGate,a Addressees ����-//O TOTAL Postage 5J <br /> � PosVnark or Date <br /> 0 <br /> U- <br /> N <br /> o_ <br />
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