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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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1426
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2900 - Site Mitigation Program
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PR0527611
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
3/4/2020 1:58:18 PM
Creation date
3/4/2020 1:40:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0527611
PE
2957
FACILITY_ID
FA0018709
FACILITY_NAME
FORMER DOLLY MADISON
STREET_NUMBER
1426
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16503010
CURRENT_STATUS
01
SITE_LOCATION
1426 S LINCOLN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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r <br /> COMPLETE • <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. � ❑Agent <br /> X <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we you. B. Received b nted Name) C. Date of Delivery <br /> ■ Attach t ' ATella he mailpiece, <br /> or on"nit if space permits. Z <br /> �r D. Is delivery address d ;nem 1? El Yes <br /> 1. Arta to: N YES,entgCdelcc{'i�ry a 4etow; ❑No <br /> tw� •� <br /> L RRIE GREENE <br /> 144 AVENIDA NIRA FLORES 3. ice Type rY - —o <br /> TIBURON CA 94920 Certified, ;' Ex s Mail <br /> Registered'4"� RetteReceipt for Merchandise <br /> ❑Insured Mai rirp C.O. <br /> 4. Restricted Delivfrp Para FQ? ❑Yes <br /> 2. Article Number 7003 2260 0003 3185 3467 <br /> (lisnsW from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt/ j o t <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X 1u"U` ❑Addressee <br /> so that we t� you. B. Received by(Printed Npg) C. Dat of gelivery <br /> ■ Attech this t e a e mailpiece, ,n c \N\ <br /> or on the front if space permits. <br /> t D. Is delivery a iffere*ftm item 1? ❑Yes <br /> 1. Article Addressed to: N YES,ente6fy adds below: ❑No <br /> m F co <br /> TIMOTHY KONG r..c, <br /> 1320 S VAN BUREN 3.&Moe Type = G <br /> STOCKTON CA 95206 Certified MdE'-P ExpW Mail <br /> 'ETRegistered-•1 Ck Ret*lMeceipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(&"Fee) ❑Yes <br /> 2. Article Number 7003 2260 0003 3185 3436 <br /> (Ilarrslisi from service label <br /> PS Form 3811,February 2004 Domestic Return Receipt yap s, p M- <br />
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