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Environmental Health - Public
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3500 - Local Oversight Program
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PR0545289
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 11:39:49 AM
Creation date
2/11/2020 8:33:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545289
PE
3528
FACILITY_ID
FA0003828
FACILITY_NAME
VAN BUSKIRK GOLF COURSE
STREET_NUMBER
1740
STREET_NAME
HOUSTON
STREET_TYPE
AVE
City
STOCKTON
Zip
95206
APN
16307036
CURRENT_STATUS
02
SITE_LOCATION
1740 HOUSTON AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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it� �• I D <br /> .r• <br /> ru <br /> �a3taQe J <br /> C3 <br /> t� Fee Postmark <br /> p Ftatum Reciept Fee Here <br /> -0 r' <br /> C3 (Endorsement Required) <br /> 3 ReWeted Delivery Fee <br /> rYn (Endorsament Required) <br /> 0 <br /> ru ?oral Pr <br /> N JAMES GIOTTONINI <br /> in enr o CITY OF STOCKTON <br /> C3 3iraef%ai 425 N ELDORADO <br /> 14 . <br /> or PO ik STOCKTON CA 95202 <br /> �,•�� Ciiy,Sfai <br /> WCCTION ON VEL <br /> IVERY <br /> Ir Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse � ©Addressee <br /> so that We can return the and to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this catApRhej'ba k 04 mailpiece, A.,.,r I <br /> ���S <br /> or on the Trani I space permits. f <br /> - D. is eM-ac�0s�,differentfF9MAern t? ❑Yes <br /> 1. Article Addressed to: If�a ntdr,.dgliyery&d0ress-b?lo}y: 11�No <br /> APR 2 0 2004 <br /> JAMES GIOTTONINI 3. SO-i . ,.` <br /> CITY OF STOCKTONCeFti` Itrlil L]1�SCsSrAail <br /> 425 N ELDORADO ❑ Registered ❑ Return Receipt for Merchandise <br /> STOCKTON CA 95202 ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. AnioteNumber 'i 70112 2030 0001 7625 0669 i 0 F7)Dr <br /> {Transfer from se <br /> PS Form 3811,August 2001 Domestic Return Receipt 102595-U-M-150.6 <br />
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