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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0513485
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COMPLIANCE INFO
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Entry Properties
Last modified
7/30/2019 3:30:02 PM
Creation date
7/30/2019 3:28:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0513485
PE
1919
FACILITY_ID
FA0002462
FACILITY_NAME
EL POLLO LOCO #3307
STREET_NUMBER
678
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
14129003
CURRENT_STATUS
01
SITE_LOCATION
678 N WILSON WAY STE 3
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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-Z-ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete ite A. Signat e <br /> ■ Print your na r s ole reverse X Cent <br /> so that we cad OU. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. ec iv y(Printed Name) C. Date of DelivpR <br /> or on the front if space permits. ' <br /> 1. Article Addressed to: D. Is delivery address different from item 1? O Yes <br /> f YES,enter delivery address below: ❑ No <br /> ARMENTA, RAFAEL& BERTHA <br /> RE: EL POLLO LOCO#3307 <br /> 406 MOTOR CITY CT <br /> MODESTO, CA 95356-9200 RU <br /> ❑Priority Mail Express® <br /> 0 Registered I�I' III 'I II II I II III I II I I ISI I I4dulified Mail <br /> Re�fricted Delivery El Reg ete ed Mail- <br /> Restricted <br /> 9590 9 4 01 0058 5 0 71 0 6 5 8 17 ry <br /> El Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation- <br /> 0 Insured Mail ❑Signature Confirmation <br /> 7015 0640 0007 112 2 6945 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,April 2015 PSN 7530- 2r 00-9053' �,t 'Al i Domestic Return Receipt <br />
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