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SITE INFORMATION AND CORRESPONDENCE_CASE 1
EnvironmentalHealth
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SITE INFORMATION AND CORRESPONDENCE_CASE 1
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Last modified
2/10/2020 4:59:51 PM
Creation date
2/10/2020 4:06:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 1
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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JoaquinSan • <br /> i <br /> Environmental Health Department <br /> FORA <br /> I' 304 E Weber Avenue FAX #: -0 (209) 464-0938 <br /> 3rd Floor, Stockton, CA 95202 <br /> 1 Phone: (209) 468-3420 60 (209) 468-8392 <br /> i <br /> 0 (209) 468-3433 <br /> I' <br /> FAX Date: �i Time: <br />{ <br /> # of Pages (including this sheet): <br /> To: dpi3G5- 6( �3 <br />� —F4: - <br /> I Of: a <br /> From: /* Voice Phohe #: 6 l 3 ��- <br /> Re: <br /> O UrgentFor Review ❑ Please Reply ' O Please Recycle <br /> I <br /> Comments: <br /> U19 4-4)1 <br /> J . <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information intended only for the use of the addressee <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,or the employee;or agent responsible to deliver it to the intended recipient. <br /> you are hereby notified that any dissemination,distribution or Copying of this telecopy is strictly prohibited. If you have received this facsimile in error,please <br /> immediately notify us by tetephone at the number listed on this cover sheet and return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs in notifying us and returning the message to us. Thank You. <br /> EHD 48-01-012 FAX COVER SHEET <br /> REVISED 6-14-02 <br /> i <br />� i <br />
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