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SITE INFORMATION AND CORRESPONDENCE_FILE 1
EnvironmentalHealth
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2900 - Site Mitigation Program
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PR0504943
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
6/17/2020 4:13:46 PM
Creation date
6/17/2020 3:14:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0504943
PE
2951
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
02
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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P 298 999 801 <br /> Receipt for <br /> Certified Mail l <br /> y^� No Insurance Coverage Provd <br /> g Do not use for IntA .+rn-+� l <br /> v D R: ' <br /> n ' rom �� I also wish to receive the <br /> pate: a 1 a or alt a ce . <br /> m <br /> Co R: <br /> ste items 3,and 4a a b. following services {for an extra <br /> lEa return Thur name and address on the reverse of this form can feel: 7 <br /> ' Atte card to you. `y <br /> does ch this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address y <br /> �ID • wrnot permit. {' C� `+ <br /> rhete''Return Receipt Requested"on the mailpWce b/tvw 1lte i�$n 2. El Restricted Delivery <br /> C daliverede urn Receipt will show to whom the article was delivered and the date <br /> Consult postmaster for fee. m <br /> 3' Article Addressed to: 4a. Article Number <br /> 3� DOUG WESTERHAVEN P 298 999 801 3 <br /> E `RICAN FOREST PRODUCTS CO4b. ServiceType <br /> ❑ Insured Cr. <br />'� 4000 KRUSE WAY PL BLDG 2 R@StM <br />"y Lpt Certified ❑ COD c <br /> KE OSWEGO OR 97035 c, <br /> ❑ Express Mail ❑ Return Receipt for 3 <br /> O Merchandise o <br /> Q7. Date of Delivery Q <br /> Z <br /> DSlghature (Addy assee) 8. Addressee's ess{Only if request d c <br /> u and fee is id) <br /> L <br /> ch <br /> tiUr t1D <br /> -? <br /> f <br />' PS Forte 1 t -emh.r 1991�*1.1-�IFP-10:1902--234m 60MESTIC RETURN RECEIPT <br />
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