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SITE INFORMATION AND CORRESPONDENCE CASE 1
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0544710
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SITE INFORMATION AND CORRESPONDENCE CASE 1
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Last modified
7/30/2019 11:51:33 AM
Creation date
7/30/2019 11:41:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 1
RECORD_ID
PR0544710
PE
3528
FACILITY_ID
FA0006247
FACILITY_NAME
Western Lift
STREET_NUMBER
3430
Direction
S
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
17525063
CURRENT_STATUS
02
SITE_LOCATION
3430 S EL DORADO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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COMPLETE • <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery,is desired. 13 Agent <br /> X 1 <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so.that - to you. B. Received by(Pdrrted Name) C.Date of Delivery <br /> ■ Attach tt �o of the m ' <br /> or on the front if space permits. <br /> D. Is delivery address different from item 17 ❑Yes <br /> 1. Article Addressed to: H YES,enter delivery address below: ❑No <br /> 3922 EL DORADO LLC <br /> 10 R'CKENBACKER CIRCLE <br /> LIVER14ORE CA 94550 3. bKvice Type <br /> Certified Mail O Express Mail <br /> y ,❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4.,Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (hansferfrom se 7004 2510 0004 3876 8757 Qy01— <br /> PS Form 3811,February 2004 Domestic Return Receipt <br /> I _ <br /> COMPLETEi SENDER: <br /> i <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your namQ and address on the reverse X ❑Addressee <br /> j At thaach W tt t to you. B. Received by(Pruned Name) C. Date of Delivery <br /> ` ■ Attach { e of the mailpiece, <br /> or on the front if spaoe permits. UKIT IV <br /> 1. Article Addressed to: D. Is delivery address different from item 1? 13 Yes <br /> H YES,enter delivery address below: ❑No <br /> 4 <br /> J <br /> PATRICK W ROURKE <br /> BANK OF STOCKTON 3. Typa oil,P 0 BOX 1110Certified Mali Express Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> STOCKTON CA 95201 ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number - <br /> (nansfwfrom swvkek 7004 2510 0004 3876 8740 <br /> Ps Form 3811,February 2004 Dohiestic F� 'y 102695-o244-1540 <br />
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