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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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FREMONT
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1401
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3500 - Local Oversight Program
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PR0545145
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/9/2020 10:36:09 AM
Creation date
1/9/2020 10:18:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545145
PE
3528
FACILITY_ID
FA0003820
FACILITY_NAME
VALLEY WHOLESALE DRUG
STREET_NUMBER
1401
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13525031
CURRENT_STATUS
02
SITE_LOCATION
1401 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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•p also wish to receiv t e � <br /> y • Complete items 1 and/or 2 for additional services. <br /> + Complete items 3,and as&b, following services {for an extra <br /> + Print your name and address on the reverse of this form so that we can fe Pr� q�� <br /> return this card to yore. � d9re§i �Address cn <br /> • Attach this form to the front of the mailpiece,or an the back if space <br /> f. 1 m does not permit, r <br /> to e Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> «' • The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee.. m' <br /> cic <br /> G delivered. <br /> Cq 3. Article Addressed to: 4a. Article Number <br /> _ PAUL SOUVA <br /> P 298 999 865 <br /> VALLEY WHOLESALE DRUG 4b. Service Type oC{ <br /> ❑ Registered ❑ Insured C11 i <br /> 1401 W FRE14ONT MU Certified * ❑ COD <br /> y�+oaCExpress •y{ <br /> � W STOCKTON CA 95203 ❑ {Mail, ❑ Return Receipt for 8. <br /> Merchandise <br /> UC o <br /> G 7. Date of Delivery '~ <br /> Q a 00 19199Q <br /> Si n ure (Address eV 8. Addressee' ddress (Only if reques ed.e <br /> and fee is ai i <br /> U 6. Signature (Agent) ~ <br /> " P 11December 7831 *U.S.OPO.-1993.— J�f� <br /> , <br /> ��,r r 'C {!// l�/.V 1h <br /> 1�rL} <br />
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