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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. S' ture <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. 7'00010'W':e <br /> ived by(Pri Name) C. Date cf'Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. 1— . <br /> D. Is deliveryre 't s <br /> 1. Article Addressed to: If YES,ent d r s"below: ❑ No <br /> FNTT MAR 0 8 ?012 <br /> E <br /> pit'A!_'�Yf <br /> MSS-PETRO INC. 3. S ice Type pE�f�tkl� <br /> 1301 W.KETTLEMAN LANE M Certified Mail ❑Express Mail <br /> LODI,CALIFORNIA 95242 ❑Registered ❑Return Receipt for Merchandise <br /> RE: 1301 KETTLEMAN LANE ❑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 8039 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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