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ARCHIVED REPORTS
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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�� - OPpU1rY <br /> San .yt <br /> Joaquin • <br /> --Environmental Health Department <br /> 304 E Weber Avenue FAX #: CD (209) 464-0'i38 <br /> 3rd.Floor, Stockton, CA 95202 <br /> Phone: {209} 468-3420 <br /> O (209) 468-8392 <br /> (209) 468-3433 <br /> =FAYX_1 Date: D2 c 23 ZOo3 Time: <br /> # of Pages (including this sheet): <br /> To: -- <br /> �{ FAX: <br /> Of: U <br /> From: Voice Phone #: ' <br /> Re: <br /> r ar <br /> ❑ Urgent i <br /> 9 or Review ❑ Please RePly D Please Recycle <br /> Comments: <br /> t : <br /> ` I <br /> STATEMENT OF CONFIDENTIALITY: The information in chis facsimile is legally <br /> listed on this cover sheet. If the reader of this message is not the intended recipient,voe theemployee and confidential <br /> enures otns blLfor <br /> ion only addresseeu are hereb noGfred that an dissemination,distribution or co n of this teleco rs slrictl p rofiibited.glf per_ipient. <br /> y py g py y P you have received this facsimile in error,please <br /> immediately notify us by telephone at the number listed on this co4er sheet and return the original message to us at the above address via United States Postal <br /> Service. We will reimburse your costs in notitying us and returning the message to us, Thank You, <br /> EHD 4M1-012 <br /> REVISE[]6.14-02 FAX COVER SHEET <br />
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