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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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C
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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SITE INFORMATION AND CORRESPONDENCE FILE 1
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Last modified
6/21/2019 5:10:28 PM
Creation date
6/21/2019 3:11:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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0 • Complete items 1 and/or 2 for aatl" I also WISh t0 leCEIVe the <br /> .� Complete items 3,and 48& b, al services. � t <br /> '�" Print your name and address on the reverse of this for so[ at <br /> �a n following;q g services (for an extra o <br /> 1leturn this card to you. teal[ /��t(-•�� <br /> ,p '1 Attach this term to the irgnt of the mailpiece,or on the back its ace [ ( �9— ' m <br /> a�m9ea not permit. P t. A%4ir ssee's Address <br /> .t. • Write"Return ReceiptRequested"on the mailpiece below the article number. rn <br /> The Return Receipt will sh <br /> o • ow to Whom the article was delivered and the date C <br /> ;.Hi iced. 2• ❑ Restricted Delivery •m <br /> m 3. Article Addressed to: Consult postmaster for tee. o <br /> 4a. Article Number 2 <br /> m <br /> n DAN KIRK P 298 999 891 E <br /> of SHELL OIL COMPANY 4b. Service Type m <br /> P 0 BOX 4023 ❑ Registered ❑ Insured <br /> y CONCORD CA 94524Certified ❑ COD c <br /> W <br /> •� ❑ Express Mail ❑ Return Receipt for <br /> p Merchandise <br /> R 7. Date of Delivery !�� w <br /> 2 9E01 }_ f) 193'! <br /> M Signature (Addressee) o <br /> 8. Address e' Address (Only if requested <br /> 16.. and fee s <br /> 6. Signature (Agent) w <br /> t <br /> 0 F <br /> 0 <br /> rn PS Form 3811, December 7991 oU.S.GPO.199a M-714 D MESTIC RETURN RECEIPT <br />
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