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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2905
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3500 - Local Oversight Program
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PR0544110
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/6/2019 5:09:00 PM
Creation date
2/6/2019 4:14:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544110
PE
3528
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
02
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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aSEN I also wish to receive the <br /> • Co ete nd/or 2 for additiona •ery es. <br /> m ;• Complete items 3,and 4a&b. following services (for an extra <br /> Print your name and address on the rev *aa <br /> we an fee): OCT ® q 1906 > <br /> 0r return this card to you. '3 Q/V ` <br /> CD <br /> 1. ❑ Addressee's Address <br /> • Attach this form to the front of them ilpb N j <br /> does riot permit. *'s <br /> Z'• Write"Return Receipt Requested"on t he article number. 2• ❑ Restricted Delivery a <br /> • The Return Receipt will show to whom theered and the date <br /> Consult postmaster for fee. <br /> cdelivered. <br /> aV 3. Article Addressed to: u er <br /> BRETT HUNTER } <br /> 4b. 'Service Type m <br /> E ENVIRONMENTAL ENGINEER'.:, ❑ Registered ❑ Insured °C <br /> rr <br /> CHEVRON USA Certified ❑ COD e r <br /> w P O BOX 5004 Express Mail ❑ Return Receipt for 3' <br /> Merchandise <br /> cit. SAN RAMON CA 94583-0804 0 <br /> 0 7. Date of Deli <br /> r <br /> - _ <br /> Z, 8. Address 's Address (Only if requested Y <br /> cc 5. Signature (Addressee) <br /> and fee is aid) ml <br /> 6. Si ature (Agent► ~ <br /> PS Form 3811, December 199 *U.S.GPO:199,4-361-714 DO STIC RETURN RECEIPT <br /> H <br /> P 379 765'--749 _ <br /> OCT ® <br /> US Postal Service , <br /> Receipt for oar <br /> No Insurance C Sti~, <br /> Do not use fo 10 i� se <br /> Sent to `tj s <br /> Street y' <br /> 4 $y� o; _ <br /> O <br /> _$' <br /> G O , <br /> Q y ,.1 Fee, : <br /> Resinc j Delivery Fee <br /> Return Receipt Showing to t <br /> Whom&Date Delivered <br /> Q Return Receipt Showing to Whom, <br /> f Q Date,&Addressee's Address <br /> QTOTAL Postage&Fees $ <br /> Postmark or Date <br /> • - i u- _ <br /> t a } <br /> i <br />
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