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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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EHD - Public
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SENDER: COMPLETE THIS SECTION <br />Complete Items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />MI Print your name and address on the reverse <br />so that we can return the card to you. <br />Attacantald t2000k of the maiIpiece, <br />or on rfrif ygpace permits. L <br />1. Article Addressed to: <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Received by (Please Print Clearly) <br />Signature <br />0 Agent 1 en pi flJv ,LiAi'" 0 Addressee <br />Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />B. Date of Delivery ; <br />DAVID -"r_ JACKSON <br />RIVER -CITY PETROLEUM INC <br />840 DELTA LN <br />WEST S ICRAMENTO CA 95695 <br />Service Type <br />,'Certified Mail <br />0 Registered <br />0 Insured Mail <br />1:1 Express Mail <br />CI Return Receipt for Merchandise <br />0 C.O.D. <br />Restricted Delivery? (Extra Fee) CI Yes <br />2. Article Number (Copy from service label) <br />'`) >/z 1,c; ,V <br />PS Form 3811, July 1999 I Domestic Return Receipt <br />Z>107 // 4J14129 <br /> <br />4r()) <br /> <br />1 <br />102595-00-M-0952
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