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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0545859
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/3/2020 5:09:13 PM
Creation date
8/15/2019 11:29:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545859
PE
3528
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
02
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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R i <br /> 7, <br /> j N 29 1 132 •09s <br /> Ci <br /> G'er�ified Mail """""`' <br /> No Insurance Coverage Provided <br /> ! UNITE® Do not use for International Mail - <br /> 1 POST4 SERVICE <br /> �« '�y (See Reverse) - <br /> S,dZ-"4� Sent to - f <br /> DAN KIRK <br /> strSHELL OIL COMPANY <br /> IT.,Sta a an ode-. <br /> 0 23 <br /> CONCORD CA 94524 <br /> Postage - <br /> Certified Fee - <br /> 1.00 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing ' <br /> ! m to Whom&Date Delivered <br /> 1.00 <br /> Return Receipt Showing to Whom, <br /> I. C Date,and Addressee's Address ' L <br /> -. 7 <br /> TOTAL Postage - <br /> c &Fees <br /> 0 Postmark or Date <br /> M 1- <br /> t <br /> E <br /> O 4V—�ZLL <br /> - <br /> 4 g - <br /> ® R <br /> I also wish to receive the <br /> C ete 1 and/or 2 for additional services. <br /> 0-. Complete items 3,and 4a&b. followln services (for an extra V <br /> • Print your name and address on the reverse of thi e can fee),IJEC 4 8 x'99 d { <br /> return this card to you. t <br /> ® • Attach this form to the front of the mailpiece,or on t ac ace 1. ❑ Addressee's Address <br /> .~does not permit. rA ° <br /> t • Write"Return Receipt Requested"on the mailpiece below the article number. G . tir <br /> • The Return Receipt will show to whom the article was delivered and the date 2. El Restricted Delivery d <br /> cdelivered. Consult postmaster for fee. d i <br /> 3. Article Addressed to: 4a. Article Number {, <br /> CD P 293 132 095 i <br /> a DAN KIRK <br /> E 4b. Service Type <br /> o SHELL OIL COMPANY ❑ Registered ❑ Insured <br /> cin P O BOX 4023 kkCertified ❑ COD w c ;- <br /> w CONCORD CA 94524 ❑ Express Mail ❑ Return Receipt for <br /> Merchandise <br /> 7.7. Date of Delivery E•0- * : <br /> a }wo! 3 10,33 <br /> 5. Signature (Addressee) 8. Addresse s ddress(Only if requested Y <br /> and fee s p id) <br /> t <br /> OWC 6. Signature (Agent) F" <br /> yPS Form 3811, December 1991 *U.S.GPO:1993--3S2-714\—/DOMESTIC RETURN RECEIPT <br /> �a <br />
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