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Environmental Health - Public
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3500 - Local Oversight Program
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PR0545667
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/12/2020 4:48:06 PM
Creation date
5/12/2020 4:12:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545667
PE
3528
FACILITY_ID
FA0003947
FACILITY_NAME
COS ROYAL OAKS STORM PUMP
STREET_NUMBER
0
STREET_NAME
ROYAL OAKS
STREET_TYPE
DR
City
STOCKTON
Zip
95209
APN
07228027
CURRENT_STATUS
02
SITE_LOCATION
ROYAL OAKS DR
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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0NIT.IV <br /> :0 N D R: I also wish to receive the follow- <br /> (a ❑Complete items and/ ikon a vic ing services(for an extra fee): <br /> H Complete items n 4b <br /> 0 Print your name an o f s t c Is i <br /> } card to you. 1. ❑ Addressee's AddreSs '. <br /> m ❑Attach this form to the front of the c oro the back if spa d t <br /> m permit. 2• ❑ Restricted Delivery <br /> y ❑Write"Return Receipt Requested"on the mailpiece below thq/e.n&d.) <br /> ■C ❑The Return Receipt will show to whom the article was delivefe JUL�J V L 2j, RL: <br /> r4l o delivered. ` *���tt[ <br /> V I <br /> 4a.Awr"� <br /> W', ATTN EXECUTIVE OFFICER , E <br /> co E CENTRAL VALLEY REGIONAL <br /> � E 4b-Service Type y <br /> tti °n WATER QUALITY CONTROL BORAD t. ❑ Registered ertified C <br /> t rn 3443 ROUTIER RD STE A ❑ Express Mail Insured c I <br /> rU Cc w SACRAMENTO CA 95827-3098 j ❑Return Receipt for Merchandise ©COD 3 <br /> •R to �1 <br /> N; ti 7-Date of Delivery a II <br /> Z } i 5, <br /> _k y--- — 8.Addressees dd ss(0 r uested and e <br /> L eu fee is paid) <br /> a c 6.5i ature(Addressee agent) 4 <br /> N <br /> PS Form 3811,December 1994 102595-99-8.022 Domestic Return Receipt <br /> I <br />
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