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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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7. Date of Dyery..1 <br />- //) <br />8. Addressee' ddress (Only lire fested <br />and fee is <br />:o •Co le i '..' it • d/or 2 for additional services. <br />111 " • b, 4. ii 1 1 ' (1-)C-C(24)2'. 0- SEN v <br />in •Co i • ete items , 4a, and 4b. <br />(1) •Print your name and address on the reverse of this for 0 card to you. <br />4;1 •Attach this form to the front of the mailpiece, or o th <br />permit. <br />a) •Write 'Return Receipt Requested'on the m pie <br />•The Return Receipt will show to whom the #ticI <br />c delivered. <br />13 3. Article Addressed to: <br />B DAVID M JACKSON <br />RIVER CITY PETROLEUM INC <br />(nu) 840 DELTA LN <br />IA - cc W SACRAMENTO CA 95695 <br />5. Received By: (Print Name) <br />Ui <br />,5 6. Signa : d res p or Agent) <br />>. X en <br />— PS Form 3811, Decemb r 1994 <br />cc <br />can return this <br />4b. Service Type <br />El Registered Nril Certified <br />I=1 Express Mail Insured <br />ID Return Receipt for Merchandise ID COD <br />-k -'vish to receive the <br />followinipices (for,an <br />extra fe 2 9 1998 <br />) 1. 0 Addressee's Address <br />2. 0 Restricted Delivery <br />Consult postmaster for fee. Thank you for using Return Receipt Service. Domestic Return Receipt <br />veT. nd the d <br />4a. Article Number <br />z20,1 I-429 <br />102595-97-B-
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