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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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HARLAN
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16500
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3500 - Local Oversight Program
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PR0545275
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
2/3/2020 1:41:46 PM
Creation date
2/3/2020 12:22:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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I ' <br /> COMPLETE <br /> S ! Complete Items i,2,and 3 Iso comp"tete q. Signature <br /> R'-Qt es'tricted[5efvery s desired—' Agent f <br /> Print your name and address o`the reverse X^� <br /> r *s. t _ Addressee ) <br /> so that a eai roturn fhe <br /> Ct&Mf you:r— B. Received b <br /> ■Affacllfiis"c " - y(Printed Name) C Dat '-f Delivery <br /> + <br /> and to t`� <br /> he ry <br /> back of the'mai►�iiece, <br /> or on the front if spdce permits. b" <br /> 1. Article Addressed to: D. Is delivery addres d' n <br /> If YES,enter d es t <br /> g <br /> Nasser Arbabian & Nayer Azam Hatami OCT 2 2014 P <br /> PO Box 690514 <br /> Stockton, CA 95269-0514" <br /> a. s�e�ice Type �N ONMENTAL HEALTH <br /> 4!f Certified Mail® � JJ���e C <br /> �j"' i <br /> ❑Registered a urn eceipt for Merchandise ; <br /> O Insured Mail 13 Collect on Delivery <br /> ie ® Ir'500 tt'el, "X t <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 1 2. Article Number - <br /> (Transfer from service label) 7❑13 -2250, 0 0 0 0 3 3 9 7, 8 0 4 8 <br /> PSS Form 3811,July 2013 Domestic Return Receipt f <br /> i <br /> i <br /> 4 - <br /> 1 - <br /> i <br /> 1 - <br /> i <br /> I <br /> l <br />
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