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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0527611
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/4/2020 1:58:18 PM
Creation date
3/4/2020 1:40:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0527611
PE
2957
FACILITY_ID
FA0018709
FACILITY_NAME
FORMER DOLLY MADISON
STREET_NUMBER
1426
Direction
S
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16503010
CURRENT_STATUS
01
SITE_LOCATION
1426 S LINCOLN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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Page 2 <br /> SITE CODE: 1156 <br /> SITE NAME: DOLLY MADISON / LANGENDORF <br /> 1426 S LINCOLN ST _ - <br /> STOCKTON, CA 96206 <br /> Z 187 935--844. <br /> RESPONSIBLE PARTY(IES): uS,Eostal Service <br /> INTERSTATE BRANDS TRAVIS BRYANT <br /> TRAVIS BRYANT INTERSTATE-BRANDS <br /> 12 E ARMOUR BLVD 12 E ARM°UR BLVD <br /> KANSAS CITY MO 64111 # xANSAs CITY Mo 64111 <br /> LORRIE GRE i _ MAY 111999 <br /> 144 AVE A MIRA FLORES <br /> ,IBU CA 94920 1 Certified Fee <br /> Special Delivery Fee <br /> Lp Restricted Delivery Fee <br /> .Return Receip o <br /> { Whom&Da Delive <br /> Q Return Rece <br /> Date,&Addr s A <br /> II 00o TOTAL Postage&.Fees <br /> i E rostrpark <br /> �or/Dnate L%6�Iv <br /> CL <br /> m SEI also wish to receive the <br /> v t■C pl a its and/or 2 a net se s. following services(for an <br /> 7r omplete items 3,4a,an 4b. <br /> i m ■Print your name and addr on f t ' s can return this extra fee ' <br /> SA <br /> i card t0 yOU. 1.1 0292 g <br /> d ■Attach this form to the front of the mailpiece,or o e back if space does not 1.❑ <br /> permit• 2.El Restricted Delivery <br /> `� ■Write°ReturnReceipt Requested°on the mailpiece below the art' e r <br /> t ■The Return Receipt will show to whom the article was delivered. t d Consult postmaster for fee. a <br /> « delivered. <br /> r 4a.Articllee,Number <br /> J TRAVIS BRYANT �L�r��`' •�✓ <br /> i `INTERSTATE BRANDS 4b.Service Type <br /> 12 E ARMOUR BLVD _ ❑ Registered � ertified W <br /> i KANSAS CITY MO 64111 , ❑ Express Mail Insured <br /> rn <br /> .a s; ❑ Return Receipt for Merchandise ❑ COD 3 <br /> t 7.Date of Delivery Q <br /> S <br /> c C/ C . <br /> �5.Receiv �i By: (P ' t Na ) 8.Addressee's ress(Only if requested Y <br /> and fee <br /> 6.Signature: Addres a or Agent) ~ ' <br /> 'o X <br /> H <br /> 102595-98-a-0229 Domestic Return Receipt <br /> PS Form 3811,December 1994 <br />
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