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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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KETTLEMAN
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1301
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3500 - Local Oversight Program
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PR0545342
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/12/2020 10:47:18 AM
Creation date
2/12/2020 8:53:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545342
PE
3528
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
02
SITE_LOCATION
1301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SENDER: COMPLETE THIS SECTION .MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ,�^_ ❑Agent <br /> ■ Print your name and address on the reverse X V ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery addre <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> MAR 0 8 20112 <br /> FORMER FLAME LIQUORS INC. 3. S ce Type ¢ <br /> 2080 MAMMOTH WAY Certified Mail ❑Express Mail <br /> LODI,CALIFORNIA 95212 ❑Registered ❑ Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> {Transfer from service label) 7011 0470 0003 3846 8022 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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