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SITE INFORMATION AND CORRESPONDENCE FILE 2
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 2
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Last modified
6/21/2019 7:17:12 PM
Creation date
6/21/2019 11:37:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
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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1 . • 1 <br /> 4`q � <br /> N • Ate * e, e <br /> NN $ <br /> S, e <br /> 00* <br /> r fee. 69 <br /> 'A0 �fee, <br /> % <br /> O tE �P SOS 4 GQ' <br /> O94 <br /> � e 4 Op11 ✓ <br /> t ° SENDER: COMPLETE THIS SECTION <br /> N P°" Please Print Clear E. Date of Delivery <br /> O N° •.•4 ■ Complete items 1 2,and 3. Also complete A. Received by( n� r <br /> O °0p�e°x:ge• l <br /> `,C' M ;•Ste, i item 4 if Restricted Delivery is desired. <br /> •�Icl ■ Print your name and address on the reverse D. Signature t` ❑Agent <br /> so that we can return the card to you. p Addressee <br /> ■ Attach this card tot f the mailpiece, X Yes <br /> \. or on theifres. D. I address different from <br /> 1. Article Addressed to: <br /> If YES,enter delivery addres <br /> N W JO G] O <br /> JOHN CRAIG 3. Service Type <br /> P O BOR 691295 Certified Mail ❑ Express <br /> \ ❑ Registered ❑ Return Receipt for Merchandise <br /> STOCKTON CA 95269 <br /> [3 insured c D.D.Insured Mail Yes <br /> 4. Restricted Delivery?(Extra Fee) <br /> 2. ArticleNumberi7pp2 2�3❑ ❑001 7625 2328 r6�� <br /> ----- <br /> 102595-00 M-0952 <br /> ID�°^�estl rn <br /> PS Form 3811,July 1999 �a <br />
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