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SITE INFORMATION AND CORRESPONDENCE_CASE 4
Environmental Health - Public
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3500 - Local Oversight Program
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SITE INFORMATION AND CORRESPONDENCE_CASE 4
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Last modified
5/12/2020 4:35:38 PM
Creation date
5/12/2020 3:20:12 PM
Metadata
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Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
CASE 4
RECORD_ID
PR0545660
PE
3528
FACILITY_ID
FA0003909
FACILITY_NAME
PORT OF STOCKTON
STREET_NUMBER
2201
Direction
W
STREET_NAME
WASHINGTON
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
14503001
CURRENT_STATUS
02
SITE_LOCATION
2201 W WASHINGTON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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SD or 2 or additi se a. so wish to receive the <br /> w ■Com ate items 3.4a,and 4b. It. services(for an <br /> ■card your name and address on ips reverse of this form BO that we can return NO eXtfaQ � <br /> � card to you. <br /> a ■Attach this form to the front of the maloace,or on the beck it apace does not f, r9 ee'S resS <br /> ■ <br /> 011W. <br /> r a�Retum Receipt Requested'on the mailpWce below the article number. 2. ❑ Restricted Delivery o <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> C delivered. Consult postmaster for fee. <br /> o � <br /> 4a.Article Numbl r <br /> ATTN MARK LIST -7 �Z, <br /> CENTRAL VALLEY REGIONAL TT `" - W�.+ E <br /> CL <br /> WATER QUALITY CONTROL BOARD 4b.Service Type <br /> UNDERGROUND STORAGE TANK UNIT ❑ Registered Certified IN <br /> i 3443 ROUTIER RD STE A ❑ Express Mail ❑ Insured A <br /> w <br /> SACRAMENTO CA 95827-3098 0 Return Receipt for Memtordse Q COD <br /> 7.Date o Delive <br /> rrl <br /> 5.Received By:(Print Name) 8.Ad re ee's dress(Q ly ff requested <br /> and fee fs } <br /> i g 6.Signature:(Addressee or ent) ~ <br /> o X <br /> T <br /> I <br /> PS Form 3811,December 1994 102595-97-e-0179 Domestic Rt=tUrl1 ReCeipt <br /> f <br />
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