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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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3500 - Local Oversight Program
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PR0545651
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/6/2020 10:20:48 AM
Creation date
5/6/2020 10:10:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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pari• ctiat��iri =,DeDartment <br /> EhVironmental <br /> `1:86B:hazlton A`ve, <br /> Sto.Cktoia;,G A. 9520562-32, <br /> Sul j LIST;Ork� ?CO454:81Wf ;0JERS> <br /> 7=Flow fare=#t;73 4. <br /> ADDREISS: 4501 Na�tt,Parsl5iiig Avenin , Stoat#cin;-Cahforr�ia " <br /> �ettnplete#1 tf�#h�-re a�e�`rf�'u`itipple-site lanci0r'iyri'e1�':. <br /> Gompiete:#2. 4 :you.are the sole site.Whdowner <br /> a, :ln accordance with:Section 25297 5{a) of Chapters::7bfthe'H6alth &'-SAfetyCode: <br /> Name of prmary;or Active Responsible Party: <br /> !, cern#y that the foiiowing �s a <br /> complete tist_of current record'fee title owners_and their mailing addresses#or fh6. <br /> .above.s-ite: <br /> : I <br /> 4 . .ina,ePorolanc6 Wit�r�Se�:tion. �9.-A , f h Opt6: of the l �alth i Safety bode: <br /> .Name,of Resport�;lile�Part`;y � <br /> ieven, Ind <br /> :I, y :certiiy;l am the slandowrier>or tie. <br /> iai3ove site. . <br /> Siftde V., <br /> n � s: (tom t <br /> I <br />
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