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SITE INFORMATION AND CORRESPONDENCE_FILE 2
EnvironmentalHealth
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HAMMER
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1612
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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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SJGOV\sballwahn
Tags
EHD - Public
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i <br /> COMPLETEIVERY <br /> THIS SECTIONON DEL <br /> COMPLETE • <br /> ■ Complete items'1,2;and 3.Also complete <br /> A. Signature Ci Agent <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> ■ Print your name and address on the reverse e D. Date of Delivery <br /> so that we can return the card to you. R. Received by(Prated N ) <br /> ■ Attach this card to the back of the mailpiece, _, <br /> or on the front if space permits. _ D. is delivery address different from item fps <br /> [�No <br /> 1. Article Addressed t '� f YES.enter delivery y address below <br /> 11 <br /> LINH NGOC HUYNH&HIYEN THANH g Se ce7ype <br /> 27391 W.'.t.;' UT COURT Certified Mail ®Express Mail <br /> TRACY,CA 95304 p Registered 0 Return Receipt for Merchandise <br /> RE: 1612 HAMMER LANE p insured Mail ❑G.O.D. <br /> i4. Restricted Delivery?(Extra Fee) O Yes <br /> 2, Article Number .�" � Ia ) �` <br /> (Transfer from service label) <br /> 102595.02-M-1540 I� <br /> PS Farm 3811,February 2004 <br /> Domestic Return Receipt <br />
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