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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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KETTLEMAN
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1301
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3500 - Local Oversight Program
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PR0545342
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
2/12/2020 10:47:18 AM
Creation date
2/12/2020 8:53:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545342
PE
3528
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
02
SITE_LOCATION
1301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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70077 149n 0003 91766 2298 <br /> 1 n m <br /> � X <br /> � ov � mm <br /> N <br /> 30 � <br /> n o � o <br /> CD . .. ......... <br /> om�� <br /> m m0 <br /> Z ID <br /> © p W <br /> ca <br /> cin Mr <br /> 2 � � W <br /> o <br /> Qo .... :.........................._.: ..... ...::._.................. <br /> 0 <br /> COMPLETE • DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. XElAgent <br /> ■ Print your name an Itt1grever5e ry,`• Q Addressee <br /> so that we can rete Y E _ B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach his card to the back of m8ileee, <br /> or on the front if space permits. > <br /> ..1 delivery address different from item I? Oyes <br /> 1. Articie Addressed to: ` <br /> � 1 If YES,enter de{iv�•y address below © Na <br /> �dt fi <br /> Executive Officers_ <br /> Attention: James L. Barton ' -: <br /> Central Valley Regional 1"` <br /> Water Quality Control Board 3• ,s�e✓DkiceType <br /> 11020 Sun Center Drive#200 +"certitiea mail El Express Mail <br /> Rancho Cordova, CA 95670' ❑ Registered l3 Paton Receipt for Merchandise <br /> ❑ Insured Mail Q C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7007 1490 0 003 90766 2398 <br /> (Transfer from service fabeo <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-lW <br />
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