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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: <br /> d <br /> $ •complete items 1 a!'Or <br /> add a'I alMish to receive the <br /> m •Complete Items 3, 4b. foll services(for an•Print your name anss on the reverse of this form so that we can return this extra fee): <br /> card to you. <br /> •Attach this form to tt of the mailpiece,or an the back if space does not 1. ❑ Addressee's Address <br /> P. <br /> _ at •Write'Retum Receipt Requesred'an the mailpiece below the article number p, ❑ Restricted Delivery m <br /> t,,, •The Return Receipt will show to whom the artide was delivered and the date <br /> l o _delivered. Consult postmaster for fee. a <br /> 1 2 RESIDENT 4a.Article Numbercc <br /> �/ w <br /> a 1038 MCCLELLAN WAY 7T Q <br /> E STOCKTON CA 95207 41b.Service Type =` <br /> N <br /> ❑ Registered ZI-Certified <br /> w ❑ Express Mail ❑ Insured <br /> ([ N <br /> o etum R ipt for Merchandise ❑ COD <br /> a 7.Date D livery <br /> C cc <br /> Z <br /> 0 <br /> 5.Received By: (Print Name) B.Address e' Address(Only if requested <br /> m and fee is paid) t <br /> g 6.Signature::(Addressee orAgenf) ~ <br /> 0 y c <br /> T A J <br /> 0 <br /> PS Form 3811, December 1994 Domestic Return Receipt <br /> a SENDER: I also wish to receive the <br /> v •complete Items 1 and/or 2 for additional servicgs. <br /> q .complete items 3,4a,and 4b. following services(for an <br /> n a Prim your name end address on the reverse of this form so that we can return this extra fee): <br /> card to you. <br /> m •Attach this form to the from of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address <br /> permit. y <br /> y •Write'RetumReceiptRequested'onthemailpiecebelowtheartidenumber. 2. 11 Restricted Delivery ar <br /> M„ •The Return Receipt will show to whom the article was delivered and the date <br /> o delivered. Consult postmaster for fee. <br /> ° RESIDENT 4a.Article Number <br /> �l-(q- X39 49'�63 <br /> E 1039 MCCLELLAN WAY 4b.Service Type <br /> 0STOCKTON CA 95207 ❑ Registered Certified <br /> N ❑ Express Mail ❑ Insured m <br /> Ir Retum Receipt for Merchandise El COD <br /> p , Date of Delivery <br /> Z `OrJ0 <br /> 5: Ived By: (Print Na e 6 A essee's, ddress(Onlyfl requested <br /> /(G +an lee <br /> 6.Sign lure:(Addressee or Age t �;;•".>,` <br /> > X Gf , <br /> H PS Form 3811, December 1994 Domestic Return Receipt <br />
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