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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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1876
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2900 - Site Mitigation Program
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PR0542421
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/21/2019 12:25:09 PM
Creation date
6/21/2019 10:07:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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SENDER: COMPLETE THIS SECTION • r • • <br /> 2 Complete Items 1,2,and um6 complete Sig ent <br /> Item 4 if RestrictedDelivery sod sired. <br /> Print your name-and`addreSS on the reverse r ddressee <br /> m ' , F <br /> so that�we rsI Tjuq the card to you. g by� e} C. of D livery <br /> ■ Attach this card-to the back of the mailpiece, �� <br /> M or on t4front if space permits. % <br /> _a . Is deli ery diffen nt fro Item f ❑Yes <br /> -M. 7. Article Addressed to: if YES,e d <br /> ro AN <br /> ,� 09 zoiz <br /> Mco AN EL AND MARY SANCHEZ <br /> 1633 V WALNUT STREET 3- S,e' ceTyIRONMENT <br /> ru STO ` TON CA 95243 ❑ red T Certified L Retu� mF�pt'16r Merchandise,I <br /> C3 RE- 1876 COUNTRY CLUB BLVD <br /> ri ❑Insured Mall ❑C.O.D. <br /> C3 7010 2780 0000 6637 3284 a. Restricted Deliveo{Mfrs Fee} ❑Yes <br /> 2, Article Number Y <br /> !Transfer from service label} 7 0],0 2 7 8 0 0000 6637 3284 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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