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3500 - Local Oversight Program
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PR0545637
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/4/2020 2:19:02 PM
Creation date
5/4/2020 2:12:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545637
PE
3528
FACILITY_ID
FA0001060
FACILITY_NAME
QUIK STOP MARKET #2076*
STREET_NUMBER
1030
Direction
S
STREET_NAME
OLIVE
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
157-264-22
CURRENT_STATUS
02
SITE_LOCATION
1030 S OLIVE ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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C <br /> jSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> FEAftach <br /> mplete items 1,2,and 3.Also complete A- ignature <br /> Item 4 if is desired. /j Agent <br /> nt r r ad�e�tntess on the reverse X ❑Addressee <br /> � the we can return the card to you. B. Received by(Prfn ed e) C. Date of Delivery <br /> r` this card to the back of the j{lailpie¢e} <br /> on the front If space PerilitiW <br /> ruv 4 b. Is delivery add �gry 1�,�yz <br /> 1 1. Article A dressed to: If YES,enter re h��.]1// o <br /> fl+� <br />�oa Mr.Mic ael f(arvelot DEC 17 2U10 <br /> Quik Stop Markets Incorporated <br /> 4567 Enterprise Street <br /> CM3 Fremont,CA 94538 a. ser <br /> Type ENVIRONMENTAL HEALTH <br /> 1030 S.Olive Avenue-NFA centfled Mail REPANWOR ICES <br /> M ❑Registered ❑Return Receipt for Merchandise <br /> Er ❑Insured Mail ❑C.O.D. <br /> 1:3 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> q <br /> r` 2. Article Number 7009 3410 0001 8274 7476 <br /> (7ransfer from service iabei) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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