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4511
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS
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Last modified
5/5/2020 3:06:11 PM
Creation date
5/5/2020 2:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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r <br /> 304 E. Weber St., Third Floor. <br /> Stockton, CA., 95202r Joaquin <br /> General Office: (209) 468-3420Health <br /> Facsimile: 5th Floor- (209) 468-3433 <br /> 3rd Floor - (209) 464-09 38 + l Health <br /> Division . <br /> Fcwix <br /> To: l (' From: <br /> Company: Phone: <br /> Fax: <br /> Date: MAY 2 1 2001 <br /> Re: <br /> CC: <br /> Pages: <br /> ❑ UrgentFor Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle <br /> • Comments: <br /> STATEMENT OF CONFIDENTIALITY: The information in this facsimile is legally privileged and confidential information <br /> intended only for the use of the addressee listed on this cover sheet. If the reader of this message is not the intended <br /> recipient,or the employee or agent responsible to deliver it to the intended recipient,you are hereby notified that any <br /> dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error, <br /> please immediately notify us by telephone at the number listed on this cover sheet and return the original message to us <br /> at the above address via United States Postal Service. We will reimburse your costs in notifying us and returning the <br /> message to us. Thank You. <br />
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