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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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SAN JOAQUIN
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3500 - Local Oversight Program
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PR0545672
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/19/2020 12:13:52 PM
Creation date
5/19/2020 12:05:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545672
PE
3528
FACILITY_ID
FA0005000
FACILITY_NAME
COMMUNITY FABRICARE INC
STREET_NUMBER
711
Direction
S
STREET_NAME
SAN JOAQUIN
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
711 S SAN JOAQUIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SEND l also wish to receive the i, <br /> ■Cc ite or or additional se ce .• <br /> m ■Com tele items 3,as and ab. following services(for an [ <br /> m ■prirn our name and address on the reverse of this fo t we can m this <br /> card to you. rr e�� <br /> ■Alta h this tvsn to the irdffE of a or an ok i d snot 1, A reS5 dress $` <br /> m ■Write'Retum Receipt Requ t L} elo a r. 2. ❑ Restricted Delivery rj <br /> t. J= ■The Return Receipt will show to who 6 anti wed Bred and the date <br /> I t delivered. Consult postmaster for fee. <br /> i <br /> ATTN PAT ANDERSON m�-„.__,.�"��_ a14b.4 rticle NumberCENTRAL VAyLEY REGIONALE WATER QUALITY CONTROL BOARDService Type <br /> .i UNDERGROUND STORAGE TANK UNIT ❑ Registered V Certified m <br /> N ❑ Express Mail ❑ Insured 5 <br /> 3 3 ROUTIER RD STE A 0 <br /> Retum Receipt for Merchandise ❑ COD ' <br /> S CRAMENTO CA 95827-3098 , <br /> Date of Q i4yL <br /> ' w” <br /> t t. 5.Received By: (Print Name) B.Address dress(O fy it requested c 11 <br /> and lee i p d) - <br /> � �; <br /> 6.Signature:(Addressee orAgent) , <br /> X <br /> PS Form U11,December 1994 Domestic RetuFn Receipt <br /> a <br />
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