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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. ,MPLETE THIS SECTION COMPLETE . ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also comptete E azure <br /> item 4 if Restricted Delivery is desired. D Agent <br /> ■ Print your name and address on the reverse dressee <br /> 50 that We can Tatum the card t0 you. B. ce ed b Tinted Name) elivery <br /> ■ Attach this card to the back of the maiipiece, <br /> or on the front if space permits. <br /> D. Is delive <br /> W ER <br /> �. t Yes <br /> Article Addressed Yo: If YES,enter delivery address below: ❑No <br /> ENT'D JAN 0 6 2012 202 <br /> F _ ENVIRONMENTAL HEAL'[ <br /> JJAM S L L BARTON <br /> RAL VALLEYAEGIONAL 3. Se ice Type <br /> R QUALi YCONTROL BOARD CertI ied Mail ❑Express Mail <br /> ERGROUtZST4ORAGE TANK UNIT Jty ❑Registered ❑Return Receipt for Merchandise <br /> 0 SUN CENTER DR N 200 I SIP �°, ❑insured Mail ❑C.O.D. <br /> RANCHO CORDOVA CA 95670.6114 (�jl� <br /> C3� -- _•- TT :_, . _ _ .. 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> r` 2. Article Number ��� 2781010000 b6�7 X505 <br /> {Transfer from service labeQ <br /> PS Form,3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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