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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0544809
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
9/5/2019 11:38:47 AM
Creation date
9/5/2019 11:30:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544809
PE
3526
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Z 187 935 762 <br /> LOLLY BOZZANO <br /> 2891 N ARATA RD <br /> STOCKTON CA 95215 <br /> JUL 13 1999 <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered <br /> Q Rehm Receipt Showi to <br /> Q Date,&Addressee's A <br /> O <br /> Q TOTAL Post <br /> 00 <br /> C4) Postmark r <br /> E <br /> `o <br /> LL <br /> U) <br /> S R. I also wish to receive the <br /> ■Complete nems 1 and/or 2 for ad following services(for an <br /> M ■Complete items 3,4a,and 4b. <br /> ■Print your name and address on r f t so a return this extra <br /> card to ou ��(7]99 <br /> •Attach this form to the front of the mailpiece,or on the back' spa 1.❑ Addressee's AC70reSS 2 <br /> pe!r t 2.❑ Restricted Delivery <br /> ■Write'Return Receipt Requested`on the mailpiece talo thea isle(6ryder <br /> ■The Return Receipt will show to whom the article was deli ered dat <br /> Consult postmaster for fee. a <br /> deliverod. <br /> 4a.Article )er <br /> LOLLY BOZZANO I <br /> 4b.Service Type <br /> 2891 N ARATA 2^, <br /> 3 STOCKTON CA 95215 ❑ Registered ure d <br /> ❑ Express Mail Insured � <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7. Date of Delivery C o <br /> I <br /> 5.Receri-vbd By' (Print 8.Addressee's Address (Only requested Y <br /> d7� and fee is paid) <br /> 8.Si r : (Ae e rAgent) <br /> a / ~ <br /> � X � � rss <br /> PS Form 3811,December102595-9e-s-o229 Domestic Return Receipt <br />
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