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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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10848
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2900 - Site Mitigation Program
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PR0536777
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/18/2019 11:26:06 AM
Creation date
6/18/2019 11:09:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0536777
PE
2960
FACILITY_ID
FA0021126
FACILITY_NAME
FORMER COUNTRYSIDE MARKET
STREET_NUMBER
10848
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10311006
CURRENT_STATUS
01
SITE_LOCATION
10848 COPPEROPOLIS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SENDS . l� sy <br /> ,v_ •Comp) ite or2tor dditio 'ce . (I`ate 415hY6 receive the <br /> r ut •Complete items 3,4a,and 4b, following services(for an <br /> % •Print your name and address on the reverse of this form{o K,,;i.can return this extf'd <br /> card to you. l.� G/ ;M 17199 <br /> -Attach this torte to the front of the malpt, or n iha beck d apace dose n t, Addressee's Address <br /> Permit. / <br /> y •Write'Rerum Receipt Requested'an Me pi o e c 2. ❑ Restricted Delivery tld <br /> •The Return Receipt.will show to whom the rtic t d n <br /> delivered. Consult postmaster for fee. <br /> 0 <br /> -- - 4a.Article Number <br /> RUSS VINEYARD 2-,202(4 may. yon, E <br /> E STOCKTON MORTGAGE 4b.Service Type <br /> oIE <br /> oJEE 6 POLESTRA FAMILY TRUSTS ❑ Registered Certified <br /> m <br /> LOU 6820 PACIFIC AVE ❑ Express Mail Insured <br /> STOCKTON CA 95207 <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> o . <br /> • d 7.Date of D live .2 <br /> 5.Received By: (Print Name) 8.Address a'sdress(Only i/requested c <br /> and fee is p id <br /> g 6.Sig (AddsoA ) <br /> T e <br /> ,p <br /> PS Fo 11, December 1994 102595-97-B-0179 Domestic Return Receipt <br /> Z 224 364 405 <br /> US Postal Service <br /> Receiot for Certified Mail <br /> RUSS VINEYARD <br /> STOCKTON MORTGAGE <br /> JEE 6 POLESTRA FAMILY TRUSTS <br /> 6820 PACIFIC AVE <br /> r STOCKTON CA 95207 <br /> JUN 171998 <br /> r <br /> NFee Delivery Feeed Delivery FeeReceipt Shovnng to8 Date Deliveredeceipt Showing to whhom,Adtlresees Address Postage&Fees $� krt <br /> � /I_ tit <br />
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