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FIELD DOCUMENTS_1997
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2900 - Site Mitigation Program
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PR0506203
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FIELD DOCUMENTS_1997
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Last modified
3/31/2020 3:16:33 PM
Creation date
3/31/2020 2:12:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
FIELD DOCUMENTS
FileName_PostFix
1997
RECORD_ID
PR0506203
PE
2960
FACILITY_ID
FA0007271
FACILITY_NAME
LINCOLN CNTR ENV REMEDIATION TRUST
STREET_NUMBER
0
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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IComplete Items t and/or 2 for as orces. I also wish to receive the <br /> •Complete items and 4b. AftWing services(for an <br /> % •Print your namedtlress on the reverse of this form so that we can return this <br /> iW card to you. fee): <br /> I> •Attach this form to the front of the maiipiece,or on the back if space does not v <br /> permit. 1. ❑ Addressee's Address <br /> i.0 •WdteWetum Receipt Rarticle number. <br /> )� -The Return Receipt will show to whomhthe ad q w asideliveow �ed and h date 2• ❑ Restricted Delivery y <br /> delivered. «a <br /> io _. Consult postmaster for fee. <br /> 70 4, RESIDENT 4a.Article Number g <br /> E 1017 CALHOUN WAY 3`j S}3 <br /> c 4b.Service Type <br /> u STOCKTON CA 95207 ❑ Registered 121-15erified ¢" <br /> to W 11 Express Mail ❑ Insured <br /> N <br /> o etumReceiptforMerdtarWise ❑ COD <br /> a 7.Date of Delive <br /> Z <br /> STpc o' <br /> 5.Received By:(Print Name) 8.Address 'S rldreas(On quested c <br /> and fee z % <br /> z <br /> g 6.Sign u (Addresse Age t) �� y <br /> A <br /> PS Form 3811, December 994 D turn Receipt <br /> d SENDER: + <br /> •Complete items 1 and/or 2 for additional cervices. <br /> % •Complete Items 3,4a,and 4b. I also wish to receive the <br /> yd, •Print your name and address on the reverse of this form so that we can return this exfollowingservices(for an <br /> y card to yu. extrafee): <br /> > •Attach Nos <br /> iform to the front of the malpiece,or on the back if space does not <br /> S Permit. 1. ❑ Addressee's Address 2 <br /> % OThe Return Receipt Requested'on the m,ilpie,s below the article number f: <br /> •The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery N <br /> C delivered, <br /> v r Consult pos6naster for fee. <br /> RESIDENT 4a.Article Number <br /> E 1016 CALHOUN WAY L4N + :T3°/ <3 <br /> STOCKTON CA 95207 4b.Se v ce Type <br /> w ❑ Registered <br /> SCI Certified <br /> ir ❑ Ex rens Mail ❑ Insured <br /> o Return Receipt for Merchandise ❑ COD <br /> CA A(qt Date of Delivery P <br /> 5.Received By:(Pant Name) 99 O <br /> >° <br /> w ) A reAddress(Only if requested x <br /> feeeispaid)paid) � <br /> g 6.Sign re:(Addressee Or Agent) <br /> h <br /> % PS Form 3811, December 1994 P9 <br /> Domestic Return Receipt <br /> SENDER: <br /> v_ •Complete items t and/or 2 for additional seadc - I also wish to receive the <br /> % •Complete items 3,4a,and 4b. following services(for an <br /> m •Print your name and address on the reverse of this form so that we can return this <br /> card to you. extra fee): <br /> j •Attach this forth to the from of the mallpiece,or on the back if space does not v <br /> permit. 1. ❑ Addressee's Address <br /> % <br /> wWrite'Retum,Receipt Requested'on the mallpiece below the article number. 2. 11 Restricted Delivery U) <br /> -The Return Receipt will show to whom the article was delivered and the date <br /> `o delivered. Consult postmaster for fee. a <br /> 'a RESIDENT 4a.Article Number m <br /> ° 1026 CALHOUN WAY P01 739' g c <br /> E 4b. Service Type <br /> rn STOCKTON CA 95207 ❑ Registered Certified <br /> w ❑ Express Mail ❑ Insured C <br /> oetumReoe' If Marche E] COD a 7.Date of De very , <br /> Z �� O <br /> >. <br /> F 5.Received By: (Print Name) 6.Address Address(Only if requested Y <br /> w and fee is paid) t <br /> g 6.Signa r . (Addressee orlent) <br /> J <br /> PS Form 3811, D ember 19s4 Domestic Return Receipt <br />
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