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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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EMBARCADERO
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6649
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3500 - Local Oversight Program
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PR0544727
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
8/1/2019 4:52:48 PM
Creation date
8/1/2019 4:15:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544727
PE
3528
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
02
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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P 777��55�9���w}0 424 568 <br /> R POSIB ?Por S L - <br /> Receiat�f�o`'r erti f Mail <br /> DWIGHT DAVIS <br /> PEGASUS GROUP <br /> 1148 ALPINE RD <br /> WALNUT CREEK CA 94596 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Co Retum Receipt Showing to <br /> Whom&Data Delivered <br /> Rehm Receipt Showing to Wham, <br /> Date,&Addressee's Address <br /> C3 TOTAL Postage&Fees Is <br /> tD <br /> Po ark or Date <br /> to <br /> '. S!:E a <br /> •Comp) it tsh to receive the <br /> w •Gump a items 3,4a,and 4b. following Services(for an <br /> •omit your name and address on th everse of this to we can return this <br /> card to you. e <br /> -Attach this form to the from of Mille ,or on e i ce do 1 19y <br /> q v <br /> d permit. Ad ressee's Address •` <br /> 4, •W4ite'Refum Receipt Request d'on th um p Restricted Delivery y <br /> L, •The Return Receipt will show t whom the article we delivered and the date <br /> `o delivered. Consult postmaster for fee. L <br /> 0 3.Article Addressed to: 44,Article Number d <br /> DWIGHT DAVIS <br /> E 4b.service Type <br /> $ PEGASUS GROUP ❑ RegisteredCertified M <br /> 1148 ALPINE RD ❑ Express Mail ❑ Insured c <br /> 'm <br /> WALNUT CREEK CA 94596 ❑ RetumRecaiptf rMerohandise ❑ COD <br /> < 7.Date of Delive 11� <br /> ^� o <br /> T <br /> 5.Received By:(Print Name) 6.Addressee's Ad (only if requested <br /> ~ and fee is paid) t <br /> g 6.Signature: (Addresse or ant) <br /> T X <br /> A <br /> PS Form 9811, December 1994 Domestic Return Receipt <br />
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