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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0508502
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/6/2018 8:52:39 PM
Creation date
11/6/2018 3:18:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0508502
PE
3526
FACILITY_ID
FA0008117
FACILITY_NAME
ARCO STATION #4932
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Z 128 eau 701 <br /> IM Postal service <br /> Receipt for Certified Mail <br /> No Insurance Coverage Provided. . <br /> D <br /> r <br /> PAUL SUPPLE <br /> ARCO PRODUCTS CO <br /> f p0 BOR 6549 <br /> MORAGA CA 95470 <br /> l <br /> L <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> N <br /> 4 <br /> on Return Receipt Showing to <br /> Who &Date Delivered <br /> -� Rom Receipt Showing to whom. <br /> Date,&Ad*essee's Address <br /> O TOTAL Postage&Fees $ <br /> M Postmark or Date . <br /> E <br /> 0 <br /> rn <br /> a , <br /> SENDER: I also wish to receive the <br /> •Complete nems 1 and/or 2 for additional services. UNIT IV <br /> a rcompleteitems a,and <br /> and ab. following services for an <br /> •Print your name and atldress on the reverse of this form so that we can return this eMfe fee): <br /> CBN to au. <br /> m •Attach this form to the front of the mailpiece.or the <br /> pem,n. on e back n space does not 7.❑ Addressee's Address <br /> M0 •Write'Refum Receipt Requestad•on me mailpiece below the article number. 2.El Restricted Delivery yy <br /> M0 •The Return Receipt will show to whom the article was delivered and fief date N <br /> c delivered.. . . Consult postmaster for fee. <br /> 0 3.A $ <br /> v PAUL SUPPLE 4a.Article Number <br /> zI a-9' —7 <br /> w ARCO PRODUCTS CO v( <br /> a PO BOX 6549 4b.Service Type <br /> e <br /> 0 ❑ RegisteredSr <br /> o MORAGA CA 95470 Certified ir <br /> ❑ Express Mail ❑ Insured <br /> ❑ Return Receipt for Marchand' ❑ COD <br /> 7.Date of Delivery / <br /> 5.Receiv (�)By:(print Name) <br /> 8 o <br /> e .Addressee's Addre (Onll, requested <br /> TflU� SV and fee is paid) <br /> 8.Signature:( ee ent) <br /> X i <br /> PS Form 3811,Deco 1994 ozsesae aozze Domestic Retum Receipt <br />
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