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ARCHIVED REPORTS
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4511
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3500 - Local Oversight Program
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PR0545641
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ARCHIVED REPORTS
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Last modified
5/5/2020 3:06:11 PM
Creation date
5/5/2020 2:11:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
RECORD_ID
PR0545641
PE
3528
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
02
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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COMPLETE THIS SEC . DELIVERY <br /> SENDER- COMPLETE THIS SECTION <br /> a Complete items 1,2,and 3.Also complete A $�" °"a f <br /> ❑ gent <br /> ? <br /> item 4 tf Restricted Delivery is desired. `l <br /> Addressee ° fl <br /> ■ Print your name and address on the revs - t3 <br /> so that we can tym rd to you. R i (Printed Name) C. Rate of Delivery 11 LP <br /> ■ Attach t j6G tdth�FtdCR of tjle Taoep,,* r <br /> or on the front If space periktts'_ _ , <br /> item t? 0 Yes Q, <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No d <br /> JUL 16 200) '' <br /> A <br /> ATTN EXECUTIVE OFFICER it a <br /> CALIFORNIA REGIONAL WATER QUALzvIR(JNr CCN i HEALTH <br /> CONTROL BOARD <br /> 11020 SUN CENTER DR #200cr <br /> O' <br /> RANCHO CORDOVA CA 9567 0-6114 ata C3 EVoress Mail -D <br /> 51�3913 Rewm Receipt for Martiandlse W <br /> ❑Insured Mail ❑C.O.D. . <br /> Y 4. Restricted Dalv&W(Etta Fee) ❑Yes <br /> 2. Article Number A" <br /> (lla►d&dom&W*0labm 7008 1830 0004 8693 6962 lti <br /> PS Form 3811,February 2004 Domestic Return Receipt <br /> 102595-02-M-1'540 <br />
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