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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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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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COMPLIANCE INFO
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Entry Properties
Last modified
1/9/2020 10:32:24 AM
Creation date
1/9/2020 10:19:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
COMPLIANCE INFO
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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SENDER:COMPLETE THIS SECTION •MPLETE THIS SECTION ON DELIVERY <br /> Ca A. Signature <br /> � ■ Complete items 1,2,and 3.Also complete ❑Agent <br /> l /�/ f I f/,/�J�'J/�;r 'r �IJX C1 A�m._r�_ <br /> item4�[ry��i��Li�u Printed Name) C. Oa of Delivery <br /> ■ Print your name and address on the reverse l3 Received by <br /> so that we can return the card to you- E3 Yes LF) ■ Attach this card to the back of the mailpiece, address different from item 1? <br /> P-1 or on the front if space permits. p, {s delivery <br /> Lfi--,� <br /> if YES,Enter delivery address below. ❑No <br /> rn 1. Article Addressed to: <br /> ca <br /> C] - - - - <br /> OfTICER <br /> r4 'EXECUTIVE 3, Service Type ressMail <br /> CEN I RAL VALLEY REGIONA�OA� Certified Mail ❑F'rP <br /> UALITY CONTROL a Registered ❑Return ReaeiPtfor Merchandise <br /> WATER Q #200 ❑Insured Mail ❑G.O.D. <br /> d1107.0 SUN CENTER DR ra Fee) ❑Yes <br /> G RANCHO CORD 95670-6114 q Restricted Delivery?(Ext <br /> - <br /> ��43 S25q 41x18 1 <br /> 2. Article Numbe service lalael, <br /> 7D03 311q <br /> ransfer from �- . <br /> (T Domestic Return Receipt <br /> r hn,ary 2004 <br />
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