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SITE INFORMATION AND CORRESPONDENCE FILE 2
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COUNTRY CLUB
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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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. SECTION <br /> A. aceived by(Please Prat Cleady Date of Z t,E 3 <br /> ■ Complete items 1,2,and 3.Also complete - � 2 $ 2��3 <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse C. Signature <br /> 7080—£8576 V'J N0TM NVS so that we can return the card to you. �''"'� <br /> Z 90'1$ NOISE BR9NI I Io$ T009 .) ■ Attach tppi���3rc�I of the mailpiece, X ❑Addw�s'aa <br /> C3 or on tl-b pt�,r's{�c � its. ? �Y. <br /> L <br /> D. Is delivery address different from (3 No <br /> aNv�To9 ssonaW 303140RRog o, <br /> NV1H1009 $0$ N 1. Article Addressed to: It YES,enter delivery address below: <br /> 4 C3 <br /> ru o P O BOX 6001 <br /> (Pennbetl IU•WBa1gPu3) w SAN RAMON CA 94583-0607 <br /> I� eed NenileC pePPisetl O <br /> IPe+Inbatl luawesioPu3) O BOB COCHRAPl I <br /> aiaH eej idelaeH wNatl Type <br /> ryewreod r' p CHEVRON PRODUCTS COMPANY 3ertif ed 1,1ai1 ❑ Express Mail I <br /> eedPaylPao t+� 6001 BOLLINGER CANYON BLDG L <br /> ❑ Registered ❑ Return Receipt for Mer�drse <br /> S .0., <br /> J asod -j SAN RAMON CA 94583— + 0 Insured Mail ❑C.o.D. <br /> Ir 0 Yew <br /> ru 4. Restricted Delivery?(Extra Fee) <br /> Ln <br /> a� ly 2. Article Number 7002 2230 2001 7625 2342 <br /> '• F 102595-aae— "952 <br /> r • . N PS Form 3811,July 1999 OZ/ D3 gemestic Re Ria /� <br /> f(et� <br /> • • r <br /> r <br /> - - • B. Data of x,o <br /> • � Delivery <br /> by(Please Prin[CleadY) lg-r�J.ye <br /> ' Complete <br /> A. R 0 a5 D <br /> • ■ Complete items 1,2,and 3.Also comp Y I <br /> rr1 is desired. Agent <br /> fr1 ' item 4 If Restricted Delivery' C. Signature <br /> to ■ Print your name and address on the reverse Addressee <br /> ' so that we can return the card to you. ? 13 Yes <br /> Lin �l c t of the mallpleCe, X fess dYffe2rit from item 1 <br /> ru ■ Attach thi t h b D. Is delivery Cl No <br /> .� N $ or on the It YES,enter delivery address below= <br /> r� Postage <br /> 1. Article Addressed to: <br /> r-1 Cued Fee Po: <br /> C3 H <br /> petumciePt Fee <br /> O tEndorsem5d Required) <br /> C3 Restricted Delivery Fee ma Typa <br /> rrt (Endorsement Required) BOB BE�ERIAN 3' Se ExPress Mail <br /> TRUST �"t""d Mail for Merchandise <br /> nd T' BERBER LAN FAMILY /p Registered ❑ Return Receipt <br /> ru BOB BERBERIAN CB LANE STE A ❑ C.O.D. <br /> C3 2021 WIAN <br /> FAMILY TRUST 2021 Fl MAR 95207 [3 insured Mail m Fee) Yes <br /> C3 2021 W MARCH LANE STE p STOCKTON CA q, Restricted Delivery?(� <br /> r CA 95207 S <br /> STOC&TON BOB' 7625 233 <br /> cn rr�- ��J700'2 203❑ _ n ozsssoo-M-ogsz <br /> 2, ---e Numbe• <br /> p antic Return. pf9�Pt. <br /> PS Form 3811,July 1999 �f Q3 �(,(/Yt- i <br />
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