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SITE INFORMATION AND CORRESPONDENCE_FILE 1
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HARLAN
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16500
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3500 - Local Oversight Program
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PR0545275
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
2/3/2020 1:40:45 PM
Creation date
2/3/2020 12:20:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0545275
PE
3528
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
02
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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- SEN <br /> ■Com e i ems or 2 for additional services. aISO WISh t0 receive the <br /> v► ■Complete items 3,4a,and 4b. followin services(for an <br /> d ■Print your name and address on the reverse of thi _ s ca t this extra fUl ® 5 'IAA <br /> card to you. l 1..77..77 <br /> ■Attach this form to the front of the mail ce,or the if not 1. ❑ Addressee's Address <br /> 4.1 permit. <br /> N ■Write'Retum Receipt Requested'on the c e artic 2. ❑ Restricted Delivery y <br /> M ■The Return Receipt will show to whom the article was delivered and the date , <br /> c delivered. Consult postmaster for fee. .9- <br /> -o 3.Article Addressed to: 4a.Article Number d <br /> a TOSCO MARKETING CO <br /> •;.E 4b.Service Type <br /> 0DAVID J CAMILLE ❑ Registered Certified <br /> Inn 2000 CROW" CANYON PL STE 400 v . <br /> ❑ Express Mail ❑ Insured c <br /> cc' <br /> SAN RAMON CA 94583 ❑ Retum Receipt for Merchandise ❑ COD <br /> -C - - <br /> 7.Date o D liv ry w <br /> Z 0 <br /> 5.Received By:(Print Name) 8.Addres ee' Address(Only if requested <br /> M1 U S6 and fe is p t t <br /> g 6.Signature:(Addressee or Agent) <br /> H <br /> PS Form 3811, December 1994 omestic Return Receipt <br />
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