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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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KETTLEMAN
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3500 - Local Oversight Program
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PR0545337
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 7:30:12 PM
Creation date
2/11/2020 11:27:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545337
PE
3528
FACILITY_ID
FA0003629
FACILITY_NAME
ARCO STATION #434*
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Okc 2 9 legs <br /> Z 167 935A,64 <br /> u5 Postal Service <br /> RedbfptYor Certified Mail <br /> No Insurance Coverage Provid <br /> ,3 ARCO PRODUCTS CO <br /> S 1 <br /> P O BO%-6549 <br /> MORAGA' CA . 94570 -, 1 <br /> Carded Fee <br /> Special Delivery Fee k� <br /> Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> •" Whom&Date Delivered <br /> Return Receipt Skwav to <br /> Date,&Addressee's Address <br /> OD TOTAL Postage&Fees i <br /> Postmark or Date <br /> .. a <br /> '. SEN <br /> ■Co ete'te and/or 2 for additional services. I also wish to receive the <br /> CO plate items 3,4a,and 4b. following services(for an x <br /> ■1 ■Print your name and address on the reverse o so that we c n return this extra t <br /> # card to you. �1 <br /> 4 j ■Attach this fomF to the fronsTI, 'eoe, an f if.space oes not - I�Addressee ss <br /> permit. ■ <br /> ■write"Aetum Aecarpt Aaqu it e 1k <br /> article umber. 2. ❑ Restricted Delivery y ; <br /> The Return Receipt will shom the rticle was delivered and the date _ <br /> . <br /> Q delivered. ;': Consult postmaster for fee. C <br /> as 3.Article Addressed to: 4 .Article Number � a <br /> PAUL SUPPLE 4 .Service Type ; <br /> °u ARCO PRODUCTS CO m <br /> RegisteredCertified ¢ <br /> P 0 BOX, 6549 c: t <br /> Express Mail Insured <br /> cMORAGA CA 94570 [E Retum Receipt for Merchandise ❑ COD ` <br /> 7.Date of D live <br /> F 5.Received By: (Print Name 8.Addres ee's Address(Only if requested Y <br /> ' LLI and f paidJ to s <br /> } = 6.Signat WseAgent) ~ <br /> * X r <br /> P5 Form 3811, Dec bar 1994 Domestic Return Receipt <br />
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