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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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21334
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3500 - Local Oversight Program
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PR0545187
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
11/20/2024 9:09:22 AM
Creation date
1/23/2020 10:45:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545187
PE
3528
FACILITY_ID
FA0007159
FACILITY_NAME
KINGS ISLAND
STREET_NUMBER
21334
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206
APN
12919002
CURRENT_STATUS
02
SITE_LOCATION
21334 W HWY 4
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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P 379 765 616 <br /> '$S Postat$ervice _ <br /> Receipt r"I"Opail <br /> No Insurances verage Provided. <br /> NAOMIE K KING <br /> C/O WILFRED O'NEILL <br /> COURT ADMINISTRATOR <br /> 226 PASO NOGAL <br /> PLEASANT HILL CA 94523 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> N <br /> � <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> Rehm Receipt Stowing to Whom, <br /> g Date,&Addressee's Address <br /> 0 TOTAL Postage&Fees $ <br /> Pf Postmark or Date <br /> 0 <br /> LL <br /> n d <br /> \�I <br /> 'q • C p t s and/or 2 for additional services. I alio Wish to receive the <br /> m omplete items 3, and 4a&b. following services (for an extra 0 <br /> • Print your name and address an the re rse o or t t we can J 10 �99T <br /> ? return this card to you. fee): '` <br /> y • <br /> Attach this form to the front of he P, ace 1. ❑ Addressee's Addtes9+ m <br /> does not permit. I/rge2 y <br /> • Write"Return Receipt Requested"o the mailpie aw the a e number. 6 <br /> • The Return Receipt will show to who nicl liter <br /> and the date 2. ❑ Restricted Delivery •m <br /> e delivered. Consult postmaster for fee. °m <br /> m 3. Article Addressed to: a. title Nu er <br /> m NAOMIE K KING e/6' E <br /> 9 <br /> E CIO WILFRED O'NEILL 4b. Service Type <br /> C ❑ Registered ❑ Insured <br /> 0 COURT ADMINISTRATOR <br /> y 226 PASO NOGAL �ICertified 1:1 COD c <br /> PLEASANT HILL CA 94523 CC��] Express Mail ❑ Return Receipt for 0 <br /> Merchandise <br /> 7. Date of Delivery w <br /> a <br /> 2 b. ignatu (Addressee) 8. Addressee's ddress(Only if requested x <br /> F7- and fee is ) „ m <br /> ¢ 6. Signature (Agent) hL- <br /> 0 <br /> 0 <br /> PS Form 11, December 1991 au.S.GPO:lae3-352-714 DOMESTIC RETURN RECEIrr <br />
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