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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PACIFIC
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6131
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3500 - Local Oversight Program
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PR0545003
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
11/27/2019 11:04:58 AM
Creation date
11/27/2019 10:58:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545003
PE
3526
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
02
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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o SENDER: <br /> V •Complete items 1 and/or 2 for additional services. I also wish to receive the <br /> u •Complete items 3,4a,and 41,. following services(for an <br /> 4' •PdrH your name and address on the reverse of this roan$o that we can return this extra fee): r <br /> C "U" <br /> ard m " g <br /> •Attach this form to the front of the mailpieca,or on the back R space does not 1.❑ Addressee's Address <br /> pemut. <br /> •write'Kern R Receipt RShow t etl"on the article w below the article number. 2.❑ Restricted Delivery <br /> e The Return Receipt will show to whom the article was delivered and the date <br /> '"'""� Consult postmaster for fee. g, <br /> 0 3 4e.Article Number m <br /> ATTN KAREN PETRYNA <br /> Z/3 b' 77,-jo-3 <br /> E E 4b.Service Type OILON ENTERPRISES <br /> LLC <br /> 8 PO BOX 6249 ❑ Registered Certified <br /> CARON CA <br /> El Express Mail ❑ Insured c <br /> 90749-6749 ❑ Return Receipt for Merchandise ❑ COD <br /> 7. Date of Delivery <br /> / Z rr o <br /> 5.Rao ed By:(Pont Na 8.Addressee's ddress(Only if requested Y <br /> and lee is paid) <br /> 6.Signature: tldressee or Age <br /> X <br /> `—° PS Form 3811,December 1994 10259�9e-s.m Domestic Return Receipt <br />
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