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SITE INFORMATION AND CORRESPONDENCE_CASE 2
EnvironmentalHealth
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14800
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3500 - Local Oversight Program
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PR0545626
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SITE INFORMATION AND CORRESPONDENCE_CASE 2
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Last modified
11/19/2024 1:51:34 PM
Creation date
4/29/2020 2:50:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 2
RECORD_ID
PR0545626
PE
3528
FACILITY_ID
FA0000957
FACILITY_NAME
LATHROP GAS & FOOD MART*
STREET_NUMBER
14800
Direction
S
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19702004
CURRENT_STATUS
02
SITE_LOCATION
14800 S HWY 99 RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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E�i COMPLETE THIS SECTION ON DELIVERY <br /> COMPLETE <br /> ■ Complete items i,2,and 3.Also complete <br /> A. gna re ❑Agent ' <br /> item 4 ii Restricted Delivery is desired. ❑Addressee <br /> a Print your,name and address on the reverse C. Date of Delivery o <br /> so that We can return the Card to you. B. Received by(Printed Name) O <br /> ■ Attach thisth b c of the mailplece, W <br /> or on the fro�a D. Is delivery address different from Item 1? ❑Yes <br /> nj <br /> No <br /> 1. Article Addressed to: babes: Rl <br /> y _ I � � CO <br /> Er <br /> APS 9 Baas <br /> `ATTN EXECUTIVE OFFICER r-3 <br /> k CALIFORNIA' REGIONAL WATER QUALITY � ���� ��A <br /> CONTROL.';BOARD KjR�Mail �11020. SUN'CENTER DR #200 Return Receipt for Merchandise <br /> RANCHO CORDOVA CA 95670-6114 p Insured Mail ❑C.O.D. [r' <br /> Restricted Delivery 7(Fobs Fee) ❑Yes <br /> 2. Article Number — _ _ .------ . - ----- - <br /> (rnroWfrom serykek ,) 70113 2260 0003 3186W-1738 . <br /> PS Form 3811,February 2004 f)Drnesbc Return Receipt Aloe j gf/ yozae,sao f <br />
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