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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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'o •Complete Items 1 <br /> and/or dditional services. I also receive the <br /> •Complete items 3,4a,end �,.y, followinnrvices(for an <br /> m •Print your name and address on the reverse of this farm so that we can return this extra fee): <br /> card to you. y <br /> a •Attach this form to the front of the mailpiece,or on the back if space does not 1, ❑ Addressee's AddreSS <br /> permit. 2 <br /> m •Wrte'Retum Receipt Requested'on the mailpiece below the article number, 2. ❑ Restricted Delivery y <br /> I= •The Return Receipt will show to whom the article was delivered and the date <br /> to delivered. Consult postmaster for fee. w <br /> d NANCY SCHMITZ 4a.Article Number <br /> a 1016 MCCLELLAN WAY `�`�� X39 `(Os e <br /> -E 4b.Service Type P, <br /> N STOCKTON CA 95207 ❑ Registered —ff'Certified <br /> cr <br /> w ❑ Express Mail ❑ Insured y <br /> CC Z14etum Receipt for Merchandise ❑ COD <br /> G 7.Date Delivery <br /> Q Z 0 <br /> T <br /> 5.Received By:(Print Name) 8.Ad9fesseeIa Address(Only ff requested <br /> w and fee is paid) m <br /> t <br /> F <br /> ig 6.Signatur d s4se or Agent) <br /> T X <br /> N � <br /> PS FormW 1, December 1994 Domestic Return Receipt <br /> i <br /> SENDER: <br /> D •Complete items 1 andror 2 for additional services. I also wish to receive the <br /> I`a -Complete hems 3,4a,and 4b. following services(for an <br /> 1 0 sprint your name and address on the reverse of this toren so that we can return this antra fee) <br /> 1 card to you. 4i <br /> U <br /> ;l; <br /> •peo'this form to the front of the mailpiece,or on the back If space does not 1, ❑ Addressee's Address <br /> O •Wpermit. <br /> rite'Retum Receipt Requested'on the mailpiece below the article number. 2. El Restricted Delivery N <br /> I <br /> -The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee. 2� <br /> RESIDENT aahArticle Number c <br /> a 1028 MCCLELLAN WAY !! 7 <br /> E ,y 4b.Service-Type <br /> 8 STOCKTON CA 95207 ❑ Registered EMrrtified c <br /> ,to ❑ Expre Mail ❑ Insured S <br /> ¢ etum Receipt for Merchandise ❑ COD <br /> 7.Datept Delivery <br /> ¢ L i <br /> 5.Received By:(Print Name) 8.Ad ressee s ddress(Only ff requested <br /> w and fee is paid) t <br /> g 6.Sign a (A ressee orAgent) <br /> 0 <br /> T <br /> M <br /> P orm 3811, December 19T4 Domestic Return Receipt <br /> m SENDER' moi' I also wish to receive the <br /> v •Complete hems 1 and/or 2 for additional services. following services(for an <br /> :complete Items 3,4a,and 4b. extra fee): 4i <br /> 0 print your name and address on the reveres of this form so that we can return this u <br /> card to you. Z <br /> 0 Attach this forth to the front of the tailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> d <br /> mpe mit. <br /> •Wrile'Refum Receipt Requested'on the tailpiece below the article number. 2.C1 ReSlriCteda(very 1a <br /> «. •The Return Receipt will show to whom the article was delivered and the dale Consult postmaster for fee. u <br /> delivered. <br /> 0 4a.Article Number ¢ <br /> RESIDENT P v7 73 9 5-SI6 <br /> 1029 MCCLELLAN WAY 4b.service Type <br /> 8 <br /> STOCKTON CA 95207 ❑ Registered Certified c <br /> lin ❑ Express Mai ❑ Insured .% <br /> linndi ❑ COD <br /> w @yRetum R `o <br /> p 7.Dale of et rtGQj <br /> Q T 0 <br /> z8.Addres e§'s Addr@ygXO equested � <br /> r5.Received By:(Prin Name) and fee'i <br /> w aAyT4 <br /> � 6.Signature:(A re riga ) <br /> o Y 6 <br /> nnmocrir.Return Receipt <br />
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