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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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2900 - Site Mitigation Program
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PR0503634
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/7/2019 4:40:56 PM
Creation date
5/7/2019 4:15:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0503634
PE
2950
FACILITY_ID
FA0005914
FACILITY_NAME
VICTOR ROAD SHELL
STREET_NUMBER
880
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905032
CURRENT_STATUS
02
SITE_LOCATION
880 VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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P 293 132 094 <br /> Receipt for <br /> Cert�}[e.ii�gAA <br /> No Insurance` o era ovided <br /> Do net use for International Mail <br /> •°'��`"w" (See Reverse) <br /> S="t n DAN KIRK <br /> F4gAP <br /> P t0 B 4 023 <br /> CON-CORN'�QA 94524 <br /> ,age $ <br /> Certified Fee <br /> 1. <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> N Return Receipt Showing <br /> W to Whom&Date Delivered <br /> mReturn Receipt Showing to Whom, <br /> c Date,and Addressee's Address <br /> 71 TDTAL Postage �a <br /> c; 4&Fees 9 <br /> 00 Postmark or Date <br /> P7 <br /> E <br /> 0 <br /> LL <br /> N <br /> a <br /> n. <br /> v / a so wish [o receive [he <br /> Co pee• 1 e r 2 for adtlltional serviEes. m <br /> r. and 4a&b. following services (for an extra � <br /> m • Complete items 7, at can fee): <br /> � Print your name and address on the reverse oft s m <br /> d return this card tp you. �, ❑ Addr¢ssee's Addr¢ss y <br /> Attach this Icrm to the front of the mailpiece,or n the back pace <br /> to 6 <br /> tloes not permit. <br /> N • Write"Return Receipt Requested"on the mailpiece below the article number 2. ❑ ReStrlCt¢d Delivery m <br /> y U <br /> • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br /> 0v 3.. Article <br /> eeli4a. Article Number <br /> rticle Addressed to: E <br /> 2 P 2 1 2 4 <br /> m m <br /> DAN KIRK <br /> a 4b. Service Type G <br /> E SHELL OIL COMPANY [IRegistered ❑ Insured <br /> U <br /> P O BOX 4023 6d Certified ❑ COD c <br /> rNu CONCORD CA 94524 LlExpress Mail ❑ Return Receipt for <br /> Merchandise w <br /> a 7. Date of Delivery <br /> u <br /> a ° <br /> a <br /> 5. Signature (Addressee) 8. Addressee's fess (Only if requested Y <br /> and tee is p dl all <br /> � r <br /> F <br /> > PS Form 3811, December 1991 eU.S.GPO:19e3-352J14 <br /> ES IC RETURN RECEIPT <br /> 2 <br />
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