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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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COUNTRY CLUB
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1267
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2900 - Site Mitigation Program
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PR0505602
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/20/2019 2:46:40 PM
Creation date
6/20/2019 1:39:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0505602
PE
2950
FACILITY_ID
FA0006891
FACILITY_NAME
BANK OF THE WEST
STREET_NUMBER
1267
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
11304217
CURRENT_STATUS
02
SITE_LOCATION
1267 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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7002 2030 0oa1 7625 1826 <br /> SENDER: • <br /> • COMPLETE THIS SECTIONON . �; rod; ; -+ �, <br /> • tm o y m o N o <br /> ■ Complete items 1,2 and 3.Also complete A. Received by(P/ease Print Clearly) B. Date of Delivery �; N <br /> �� k 1?; p A 3 3c <br /> item 4 if Restricted Delivery is desired. ^+ o Z o ; . <br /> ■ Print your name and address on the reverse m <br /> so that we can return the card to you. C. Signature A; m m o <br /> ■ AttachffllLL of t t Yq of the mail lece, X ❑Agent _ gm��� m 61 <br /> or on t ront s a e mits. ❑Addressee <br /> D. Ist livery add differen C 01 CA 3 <br /> 1. Article Addressed to: om item 1? El <br /> If YES,enter delivery address below: ❑ No W b <br /> 0 > <br /> 2 <br /> KAREN PETRYNA a ■ <br /> SHELL OIL PRODUCTS USA n �' I <br /> 3.fegistered <br /> ice Type a O <br /> P O BOR 7869 rtified Mail ❑ Express Mail [� <br /> BURBANK CA 91510-7869 ❑ Return Receipt for Merchandisesured Mail ❑ C.O.D. IV o <br /> O 7dd x <br /> 4. Restricted Delivery?(Extra Fee) r1 m 3 <br /> ❑ Yes m <br /> 2. Article Number 7002 2030 0001 7625 1840 <br /> PS Form 3811 July 1999 �Do c <br /> � eturn Receipt <br /> a to 102595-00-M-0952 <br /> 7002 2030 0001 7625 1840 <br /> Q. °sq ;� SENDER: COMPLETE THIS SECTIONCOMPLETE THIS SECTION ON DELIVERY <br /> �'2; o ay a <br /> - o o ■ <br /> v 0 Complete items 1,2, and 3.Also complete by(Please Print ClP�rly) a at of Deli <br /> N: k�i m a _ • item 4 if Restricted Delivery� �€"' • is desired. <br /> N; z, n 'm m ■ Print our name and address on the rever <br /> �- I' <br /> �� 1.0 a y so that we tor <br /> ID ��jjQQ�to you. C. Signature <br /> by b cn „ T " ■ Attach this�bidGtol�hb�dltttrPthe mailp' ce, X gent <br /> O gm gm m" ,`i6 . or on the front ifs ace permits. n Addressee <br /> d' D.-fs rent from 1? ❑Yes I <br /> by r 1. Article Addressed to: If enter delivery address below: No i <br /> o r <br /> a d > JOSEPH P FASO ETAL AUG 0 8 2003 <br /> 4453 YACHT HARBOR DRIVE 3. Service Ty01/1RIUN i IPLALW <br /> H STOCKTON CA 95204 Certified p� <br /> �+ ■ LJ Registered����❑ Return Receipt for Merchandise <br /> o E3Insured Mail 13C.O.D. <br /> 9 3 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number, <br /> 7002 2030 0001 7625 1826 <br /> PS Form 3811,July 1999 Domestic Return Receip 102595-00-M-0952 <br /> a�� <� <br />
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