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SITE INFORMATION AND CORRESPONDENCE
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16865
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2900 - Site Mitigation Program
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PR0505611
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/17/2020 5:37:09 PM
Creation date
1/17/2020 4:31:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505611
PE
2951
FACILITY_ID
FA0006807
FACILITY_NAME
MORESCO PROPERTY
STREET_NUMBER
16865
STREET_NAME
GAWNE
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
18309009
CURRENT_STATUS
01
SITE_LOCATION
16865 GAWNE RD
P_LOCATION
99
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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d <br /> v 1 also wish to receive the follow. <br /> u) ❑Complete items 1 and/or 2 for additional services. <br /> d Complete items 3,4a,a b <br /> a1 ❑Print your name an a the rev e 1❑ G r 'Poo <br /> card to you. 1 we n retur this r l I G U �'Sy'7yX <br /> Attach this form to th of the ai le <br /> o e k Ad rens E <br /> permit. a not <br /> t <br /> 13 Wr to'Return Receipt Requested'on th ilpiece below the article number. 2 Restricted Delivery `y <br /> e ❑The Aeturn Receipt will show to whom the article was delivered and the date N <br /> o delivered. O <br /> a — — — -- — Z <br /> « ATTN EXECUTIVE OFFICER 4a.Article I b <br /> a_1 m <br /> Q- CENTRAL VALLEY REGIONAL <br /> E ' c <br /> $ WATER QUALITY CONTROL gpR� 4b.Service Type <br /> ❑ Registeredd <br /> N 3443 ROUTIER RD STE A <br /> W ❑Express Mail _E- <br /> cSACRAMENTO CA 95827-3098@ertified <br /> sured c <br /> ❑Return Receipt for Merchandise ❑COD y <br /> z 7.Date very �y <br /> z <br /> o <br /> ...... 8.Addressee's A ess(Only if requ ted and c <br /> cc fee is paid) <br /> 0 6.S nature Addr <br /> D ( r$S8t?e or Age t) <br /> V1 _ <br /> PS Form 3811,December 1994 102595-99 -02 Domestic Return Receipt <br />
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