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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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S
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STANISLAUS
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749
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3500 - Local Oversight Program
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PR0545698
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/28/2020 9:49:16 AM
Creation date
5/28/2020 9:46:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545698
PE
3528
FACILITY_ID
FA0009775
FACILITY_NAME
CONCRETE INC - STKN-STANISLAUS
STREET_NUMBER
749
Direction
S
STREET_NAME
STANISLAUS
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14723006
CURRENT_STATUS
02
SITE_LOCATION
749 S STANISLAUS ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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• Css� I also ish to receive the <br /> y Comp e a e 1 and/or 2 for additional services. <br /> • Complete items 3,and 4e$b. folloMr ersy]ices or raid extra 0 <br /> Print your name and address on the reverse of this form so that we can feed: o F 190A <br /> CD return this card to you. m <br /> m • Attach this form to the front of the mailpiece,or on the back if space 1. I Addressee's Address y <br /> does not permit. •,. <br /> + Write"Return Receipt Requested"on the mailpiece below the article number. 2 very <br /> �] Restricted Delia <br /> • The Return Receipt will show to whom the article was delivered and the date IDv <br /> C delivered. Consult postmaster for fee. U <br /> 03. Article Addressed to: 4a. Article Number <br /> C3 E <br /> DAVE BARNEY P 298 999 806 <br /> 4b. Service Type m <br /> a' E WBR INC cc <br /> tr p ❑ Registered Insured <br /> ¢- 0 C/O INSPIRATION RESOURCE ertified F-1 COD e <br /> HP O BOX 66001 ❑ Express Mail ❑ Return Receipt for 3 <br /> � <br /> Cr ufx STOCKTON CA 95206 Merchandise o <br /> C7. Date of Delivery <br /> ru a r <br /> 4 5. Signaturg I dresseef .1 8. Addressee' ddress (Only if requested c <br /> and fee is C <br /> L <br /> 2 fi. Signature (Agent) h <br /> PS Form 5811, December 1991 ,lu,s.r3Po:toga—M-11MM ST RETURN RECEIPT <br />
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