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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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1130
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3500 - Local Oversight Program
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PR0545657
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/7/2020 12:24:02 PM
Creation date
5/7/2020 12:19:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545657
PE
3528
FACILITY_ID
FA0015337
FACILITY_NAME
ISLAMIC CENTER
STREET_NUMBER
1130
Direction
S
STREET_NAME
PILGRIM
STREET_TYPE
ST
City
STOCKTON
Zip
95210
CURRENT_STATUS
02
SITE_LOCATION
1130 S PILGRIM ST
P_LOCATION
01
QC Status
Approved
Scanner
LSauers
Tags
EHD - Public
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i <br /> COMPLETE •N COMPI ETE rHIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A Signature <br /> ` item 4 K Restricted Delivery is desired. <br /> ur'r a Print your name and address on the reverse ' ressee <br /> Ln so that we can return the card to you. <br /> u1 Y iv n NameDated Delivery <br /> - <br /> ■ Attach this card to the back of the mailplece, / <br /> or on the front if space permits. M `Y <br /> Ur" <br /> rens differ,from item 1? , ">ae <br /> 7. Article Addressed t4: IV M r • below: X150 <br /> Executive Officer APR 2 4 ZU09 I <br /> Central Valley Regional 3 bnnQ�i <br /> M Water Quality Control Board AL <br /> 11020 Sun Center Drive#200 E press Mall <br /> fl'Rancho Cordova, Ca 95670-6114 ❑Registered RehrmRecelptfor hArchandise <br /> 1 - ❑insured Mau ❑C.O.D. <br /> 0 <br /> 0 4. Restricted Delivery/ Xktra Fee) C Yes <br /> � 4 2. Amide Number <br /> 7008 1830 []004 81=93 5958 <br /> (Tiensfer from servke label <br /> PS Form 3811,February 2004 Domestic Return Recelpt 1U�-M-1540: <br />
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