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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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SENDER: I also wish t receive the } <br /> v :complete items 1 and/or 2 f ti services. following as(for an 1 <br /> a •Complete items 3,4a,and 4 <br /> 0 •Print your name and address a reverse of this form so that we can return this extra fee): ai <br /> card to you. Addn i <br /> •Attach this forth to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address Z <br /> ` permit. n l <br /> ar •Wdte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N <br /> •The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. m <br /> delivered. <br /> Z.Article Number m <br /> IMP <br /> RESIDENT 1So <br /> E 7105 EMERYN ST 41b.Service Type <br /> ° STOCKTON CA 95207 ❑ Registered e'Eertified of <br /> U <br /> ❑ Express Mail -. ❑ Insured m <br /> In WeAOdM'Srs <br /> Merchandise ❑ COD <br /> cc <br /> `o <br /> a 0 <br /> T <br /> Z <br /> 5.Received By: (Print Name) ss(Only if requested W~ <br /> g 6.S' re:(Addre or Agent) <br /> ------------0 <br /> jT <br /> Ps Form 3811, DecembOM994 Domestic Return Receipt <br /> o SENDER: I also wish to receive the <br /> -Complete items end/or2 for additidA�'SRta9 <br /> BIO . <br /> ,T •Complete items 3,4a,and 4b. following senrces(for an <br /> m •Print your name and address on the reverse of this form so that we can return this extra fee <br /> card to you. ) y <br /> �> -Attach this form to the front of the mailpisce,or on the back if space does not 1. 11Addressee's Address <br /> 'a permit. <br /> Im •Write'Refum Receipt Requested'on the mailpiece belowthe article number. 2. 13 Restricted Delivery U)'r •The Return Receipt will show to whom the article Was delivered and the dale <br /> �o delivered. Consult postmaster for fee. <br /> in <br /> 4a.Article Number d <br /> I; RESIDENT IE <br /> 1E 7110 EMERYN ST 4b.Service Type <br /> STOCKTON CA 95207 ❑ Registered �ErCertffiecl <br /> to ❑ Express Mail ❑ Insured E <br /> ReturnRceipt for Merchandise El COD <br /> C - 7.Date elive <br /> ,a <br /> Z r <br /> F5.Received By: (Print Name) 8.Ad re see's Accirliss(Only if requested <br /> U.1 and fee is paid) <br /> L <br /> H <br /> g 6.Signet re A <br /> a° X <br /> m <br /> Ps Form 3811, ecember 1994 Domestic Return Receipt <br /> m SENDER: also wish to receive the <br /> ro •Complete items l and/or 2 for additional services. <br /> .*g •Complete items 3,4a,and 41b. following services(for an <br /> % •Prim your name and address on the reverse of this form so that we can return this extra fee): <br /> card to you. 4i <br /> > •Attach this form to the from of the mailpiece,or on the back if space does not 1, ❑ Addressee's Address 2 <br /> `y rm <br /> •W eitRefum Receipt Requested'on the mailpiece below the article number. 2. 0 Restricted Delivery N <br /> « •The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. a <br /> dRESIDENT 4a.Article Number / Ccc 7 Y7 <br /> E 7115 EMERYN ST 4b.Service Type 10 <br /> $ STOCK CA 95207 ❑ Registered p Certifed <br /> U) ❑ Fjcpress Mail ❑ Insured 5 <br /> N <br /> Lu <br /> et um Receipt for Merchandise ❑ COD <br /> 0 7.Date of D Ive ° <br /> a 0 <br /> z <br /> T <br /> p 5.Received By: (Print Name) 8.Ad re e Ad"ss(Only if requested <br /> I- and fee is paid) t <br /> W r <br /> g 6.Sign at r : (A ressee or nt) <br /> r X <br /> m <br /> Ps Form 3811, December 1994 Domestic Return Receipt <br />
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