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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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SAN JOAQUIN
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711
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3500 - Local Oversight Program
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PR0545672
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/19/2020 12:13:52 PM
Creation date
5/19/2020 12:05:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545672
PE
3528
FACILITY_ID
FA0005000
FACILITY_NAME
COMMUNITY FABRICARE INC
STREET_NUMBER
711
Direction
S
STREET_NAME
SAN JOAQUIN
STREET_TYPE
ST
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
711 S SAN JOAQUIN ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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- 1 <br /> R: I[NIT TAT I also wish to receive the <br /> ■complete items 1 andror 2 for followi i 1 <br /> j r Complete items a 4a,and 4b. �T�1189 11 <br /> y I •Print y(yuoruname and address the onn m this extra f 1 .L .7 <br /> l ■Atta0afdchh this form to the front of the lece, if of 1.❑ Addressee's Address <br /> R �my� <br /> ■Wrlte'Retum Receipt Requested'on the mall piace below thea ' �� 2.❑ Restricted Delivery <br /> a TW Retum Receipt will show to whom the article was deitvared an r <br /> delivered Consult postmaster for tee. <br /> ru � 4a.Article Plumbs <br /> -.13 ANTHONY VARN I -;;7 / /)?, <br /> ru <br /> MARION C M FRY 4b.Service Type <br /> c P 0 BOX 570 ❑ Registereded is <br /> I]AXWARD CA 945+43 �[E Mail Insured c <br /> etw(i3;eipt for Momhandise ❑ COD ; <br /> 7,:Date o il3 ivery <br /> rt.l ]d.. r •+t a <br /> e. 5:Received By:(Print Name) _: 8.Addre s Ad (Only if requested <br /> ansa r pard) C f <br /> 6.Signature:(Addressee or Agent) Nlh <br /> X r <br /> J2 PS Form 3811,December 1994 ta?m&9&s,4=9 Domestic Retum Receipt <br /> I <br />
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