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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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WILSON
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2211
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2900 - Site Mitigation Program
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PR0545106
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/28/2021 12:10:36 PM
Creation date
5/28/2021 11:48:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545106
PE
3529
FACILITY_ID
FA0003694
FACILITY_NAME
RIVER CITY PETROLEUM CARDLOCK
STREET_NUMBER
2211
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11707050
CURRENT_STATUS
02
SITE_LOCATION
2211 N WILSON WAY
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION <br />Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach tlfisifirchtoilh of the mailpiece, <br />or on ttreFtP; Psi% its. <br />1. Article Addressed to: <br />SHELDON HECKY" <br />CONNELL MOTOR CO <br />P 0 BOX 8467 <br />STOCKTON CA 95202 <br />A. Received by (Please Print Clearly) <br />El Agent <br />Addressee <br />I s delivery addre s different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. .Service Type <br />/14 Certified Mail <br />0 Registered <br />0 Insured Mail <br />O Express Mail <br />0 Return Receipt for Merchandise <br />C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Numbjr igsWom servictbel) <br />/7 I <br />PS Form 3811, July 199 • Domestic Return Receipt/ <br />I A./ <br /> <br />(2,4-tr) <br />102595-00- -0952 <br />
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