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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545246
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
1/30/2020 4:05:50 PM
Creation date
1/30/2020 1:53:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545246
PE
3528
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
02
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also orttplete A O Agent <br /> item 4 if Restricted Delivery is �j' g <br /> ■ Print your name and ad orerse vl• Addressee <br /> so that we can returr� C to} u. B. Received by(Printed Name C. Date of livery <br /> ■ Attach this caod t@;t �c�the mailpiece, <br /> or on the front If soade permits. <br /> D. Is delivery addressA Brent em 11 0 Yes <br /> 1. Article Addressed to: If YES,enter delivery address belo : O No <br /> APR 1 2017, <br /> ENVIRONMENTAL HIWTH <br /> PAT H.Os #_: ;i'HLEEN MEEKS TRUST <br /> 783 LOS i-L.,URES COURT 3. ,S{�p_eice Type <br /> GALT,CA 95632 ib l 2— "[J Gertifled Mail ❑Express Mail <br /> 7011 0470 0003 3846 8152r'tJ 0 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number <br /> (Transfer from service label) 7011 0470 0003 3846 8].52 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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