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CO0026925
Environmental Health - Public
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2200 - Hazardous Waste Program
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CO0026925
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Entry Properties
Last modified
5/31/2019 1:27:39 PM
Creation date
2/13/2019 12:05:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
RECORD_ID
CO0026925
PE
2200
STREET_NUMBER
4825
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10416019
ENTERED_DATE
8/28/2007 12:00:00 AM
SITE_LOCATION
4825 WEST LN
RECEIVED_DATE
8/28/2007 12:00:00 AM
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4825\CO0026925.PDF
Tags
EHD - Public
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UnIITE©.STATEs,POS'j - <br /> E <br /> • Sender: Please print your name, address, and ZIP+4 In this box ' I <br /> Q ,r <br /> EWRONMENTAL HEALTH DE tMENT <br /> Sart Joaquin `� �_ � , <br /> i q Couni�r: <br /> Ian�, _�� <br /> 0 Main SCID <br /> vstocMont CA <br /> } =� <br /> E ' 1 <br /> i <br /> tee-; 49.z - a4m,- Le <br /> i { <br /> i <br /> '60MPLETE THIS SECTION <br /> SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A.;;��5 <br /> f <br /> item 4 if Restricted Delivery is desired. h�,�_4 Agent <br /> } ■ Print your name and address on the reverse X ❑Addressee + <br /> so that can return the card to you, g Received by(primo ne C. too Delivery " <br /> ■ Attach this card to the back of the mailpiece, ` <br /> or on the front if space permits. Vq ! <br /> I- Article Addressed to: D. is delivery address different from item f? ❑Yes <br /> MEHDI & AFS ENEH SHAKOORI If YES,enter delivery address below. Xt No <br /> f 3546 SENTON STREET _ <br /> SANTA CLARA, CA 95051 <br />€ 3. Service Type r <br /> S]Certified Mail ❑Express Mail <br /> ❑ Registered ❑Return Receipt for Merchandise f <br /> ❑Insured Mail ❑C.O.D. r <br /> 4. Restricted Delivery?(Extra Fee) yea <br /> 2. Article Number x-y:.� .-,,�_ ---zr-r.-•:� <br /> (Transfer from service label) 7004 2810 0 0 0 3 78 9 2737 1 } <br /> PS Form 3811,February 2004 D 9� <br /> /''&�5" J�u � Q Z� ss-a2-lrs-isao 9' <br />
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