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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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HAZELTON
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1810
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3500 - Local Oversight Program
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PR0545280
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/3/2020 1:10:42 PM
Creation date
2/3/2020 11:54:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545280
PE
3526
FACILITY_ID
FA0003954
FACILITY_NAME
SJ CO PUBLIC WORKS CORP YARD*
STREET_NUMBER
1810
Direction
E
STREET_NAME
HAZELTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
15518002
CURRENT_STATUS
02
SITE_LOCATION
1810 E HAZELTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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COMPLETE / <br /> 1 ■ Complete items 1, 2, and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. C. Signature <br /> ■ A#tips Air? e back of the mailpiecQ, X 1:1 Agent <br /> or on the fr nt ce permits. ❑Atltlressee <br /> 1. Article Addressed to: D. Is tlelivery address different from item 17 11Yes <br /> If YES,enter delivery address below: ❑ No <br /> EARL GILPORD <br /> SAN JOAQUIN COUNTY <br /> 3. Service Type <br /> 444 S WILSON WAY fBl Certified Mail 13 Express Mail <br /> STOCKTON CA 95205 Registered ❑ Return Receipt for Merchandise i <br /> ❑ insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) El yes <br /> 2. Article Number(Copy fiom service label) <br /> PS ForI b 111 July 1999 Domestic Return Recei�ty_ 102595-00-M-0952 <br />
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