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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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10878
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3500 - Local Oversight Program
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PR0544832
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/19/2024 1:57:05 PM
Creation date
9/16/2019 12:09:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544832
PE
3528
FACILITY_ID
FA0001146
FACILITY_NAME
MORADA CHEVRON FAST N EASY #60*
STREET_NUMBER
10878
Direction
N
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95212
APN
08607002
CURRENT_STATUS
02
SITE_LOCATION
10878 N HWY 99 E
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Z 016.~ 974 268 ' <br /> MED DEC 181995 <br /> Receipt for <br /> - — - errfified Mail 4 <br /> s No Insurance Co4tfage Provided ...4 <br /> wrcnsTxTts..,,,�n.rtnirr4cosFnr.I <br /> KURT A KAUTZ <br /> n 5490 BEAR CREEK RD <br /> �. <br /> d SEC-f I also wish to receive the LODI CA " 95240 <br /> H • o e ms andlor fo ition I servic s. <br /> • plete items 3,a 4a&b. following services (for an extra , <br /> ti • n Q�r name and a ss on the revers o t t we can fe9)' r-r� r� {� { 8 �Q(] <br /> ID cr�tur� mT i1R''`"rLUtt7�AI�J el El 1A,610 v•7 — <br /> t A h t i 1 r o f nt of the mailp ace, r o a ack f space dress 5 reSS postage <br /> I m of permit. $ <br /> + Write"Return Receipt Requested"on them ' ' ce below the article number. 2 ❑ RestrlCted Delivery <br /> *' • The Return Receipt will show to whom the article was delivered and the date Certified Fee <br /> o delivered. , <br /> Consult postmaster for fee. <br /> m 3. Article Addressed to: 4a. Article Mum r special Delivery Fee <br /> .KURT A KAUT Z 4b. Service Type Restricted Delivery Fee <br /> I C 5490 BEAR CREEK RD ❑ Registered El Insured <br /> � � �Return Receipt Showing <br /> LODI CA Certified ❑ COD W to Whom&.Date Delivered M <br /> 95240 Return Receipt for <br /> .- W Express Mail ❑ p r Return Receipt.Showing to Whom, <br /> LU Merchandise 2 Date,and Addressee's Address i <br /> (ti _ 4ylj <br /> p 7. Date of Delivery g TDTAL Postage $ i <br /> Fees w <br /> Aignature (Address ] 8. Addressee's Address {Only if requested 0 Postmark or Date <br /> a and fee is paid) Cl) <br /> E <br /> UJII <br /> 6. Signature (Agent) / • �f ��y� UL ; <br /> 4, y PS Form 3811, December 1991 *U.S.GP0:1993-•-352-714 DOMESTIC RETURN RECEIPT I <br /> Zb 9`74 219 <br /> k 71995 <br /> SEN � <br /> v� receive o • C I s 1 /or fo addi r cervi es, a o wish to ive �otified Mail � <br /> a *1% mplete item nd 4a&b. � No Insurance CGwarage Provided q <br /> { po Print your name and address on the reverse of this form so that we can f loar lg ser viCp { r an i <br /> LIrJy UIv' iE05T•7E5{ 44rnQttuselfgrrinternaiona6EMi <br /> return this card to you, ro.Srµsiere <br /> m Attach this form to the front of the meilpiece,or on the back if ace 1§, <br /> r m does not permit. p 1• ❑ Addressee's Addre Iset nto, -- <br /> I r write"Return Receipt Requested"on the mailpiece below the article number. I` BAGLEY ENTERPRISES INC <br /> �' • The Return Receipt will show to whom the article was delivered and the date 2' ❑ Restricted Delivery I strelE� $EI DELBERG WAY <br /> delivered. l <br /> m 3. Article Addressed to: Consult Postmaster for fee. <br /> — 4a. Article Number � � P. a de <br /> a BAGLEY ENTERPRISES INC �T t Postage <br /> E? 1105 HEIDELBERG WAy 4b. Service Type $ <br /> a LODI CA 95242 ❑ Registered 11Insured f Certified Fee <br /> W < <br /> t ❑ Certified ❑ COD <br /> ❑ Ex Special Delivery Fee <br /> C] press Mail ❑ Return Receipt <br /> Q ° 7. Date of D Merchandise <br /> elivef�yC i ,t d,., .�., j Restricted Delivery Fee <br /> UU <br /> w°5. Signature (Addressee) tom. <br /> � 8. Addres 's Address (Only if re 1 rn to WhomReturn e&epateipt hpelivered <br /> and fee <br /> i7C Signatu (A ent pa i r <br /> 7� I= Return Receipt Showing to whom, <br /> a <br /> � <br /> Date,and Addressee's Address <br /> y PS Form 3811, December 1991TOTAL postage 5 <br /> e ?w!.S»GPO;198 ,• <br /> _. 3--352.714 " &Fees�:DQ ��O <br /> --.__.. TIC RETURN RECE ao Postmark or Date: <br /> ; <br /> E <br /> L <br /> _ T ~� ? <br /> i rfi <br />
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