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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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MARIPOSA
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2132
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2900 - Site Mitigation Program
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PR0541650
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/11/2020 8:17:58 PM
Creation date
3/11/2020 2:34:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541650
PE
2960
FACILITY_ID
FA0023868
FACILITY_NAME
FORMER USA GASOLINE SERVICE STATION 110
STREET_NUMBER
2132
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
1730635
CURRENT_STATUS
01
SITE_LOCATION
2132 E MARIPOSA RD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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I <br /> 1 • ' <br /> late A Signature E3 Agent <br /> ■ Complete items 1,2,and 3.Also comp X ❑Addressee <br /> item 4 if Restricted Delivery Is desired. <br /> Printed Name) C.Date of Delivery <br /> ■ Print your name and address on the reverse B Received by( _ ,, -, <br /> so that we can return the card to you. f - _ <br /> ■ Attach this card to the bac��sthe mallpiace, :d' tenttmr&ee<!111„❑Yes <br /> or on the front if space pe D. Is delivery address t1El�% <br /> K YES,enter delivery address below: <br /> t. Article Added le: J!11, g 2007 <br /> ENIAR yvr,?E,n; <br /> Cbarles Wong/C. NIaise - t <br /> 3, rvice Type rase Mall <br /> 219 Mangles Avenue �� d MSI E3� <br /> sartFranc isco CA 94131 Registered ❑Return Receipt for Mwdmndise <br /> 2132 Manposa) ❑Insured Mail ❑C.O.D. <br /> 4. ResMcted Dellvery4(EMra <br /> Fee) ❑Yes <br /> 2260 0003 3185 5�y . <br /> 2. Article Number ?003 102595-02+1-1540 <br /> (tfansler hom service label) Domestic Return Receipt y <br /> PS Form 3811,February 2004 <br />
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