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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545791
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/15/2020 1:44:12 PM
Creation date
6/15/2020 1:28:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545791
PE
3528
FACILITY_ID
FA0005880
FACILITY_NAME
PS BAJWA INC
STREET_NUMBER
601
Direction
S
STREET_NAME
VENTURA
STREET_TYPE
AVE
City
STOCKTON
Zip
95203
CURRENT_STATUS
02
SITE_LOCATION
601 S VENTURA AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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P.'_ R5 999 727 - - <br /> 93 <br /> 27 - <br /> 93 <br /> Certified a <br /> No Insurance <br /> C verage Provided <br /> r,P Do not use for nternational <br /> (See Reverse) Mail <br /> Sent to <br /> JOHN DIEK N TRUST <br /> Street and No. <br /> 0 AIRPORT BLVD STP <br /> P.Q.Slate and ZIP Code <br /> BURLINGAME CA 94010 <br /> Postage <br /> CertNied Fee 9 <br /> 1 . <br /> Special Delivery Fee 00 <br /> Restricted Delivery Fee <br /> f Return Receipt Showing <br /> ` m to Whom&Date Dellvered <br /> 1 . 00 <br /> at Return Receipt Showing to Whom, <br /> f e Date,and Addressee's Address <br /> 7 <br /> ) TOTAL Postage <br /> C &Fees 4n <br /> M 2 . 2 <br /> 00 Postmark or Date J <br /> CV) <br /> O <br /> 14- <br /> • SEND <br /> SEND plate items I and 2 when additional se ices are desired, and complete items <br /> '3 and 4. g�� <br /> Put-your address in he "RETURN TO" Space on i�3verse)�sside. Fi�ip -= <br /> card from being returned to you.The return recei t f• _,dill rovide ou the name of he erson delivered <br /> to aAsd the'daEe of deliver .Fora lttona Bas t e o owing Be,v ces are avat a e. onsu t postmaster <br /> or ees an c ec ox es for additional service Ss► requested, <br /> I. EJ Show to whom delivered, date, and addressee's address. 2. ❑ Restricted Delivery <br /> (Extra charge) I {Extra charge) <br /> 3. Article Addressed to: 4! Article Number <br /> JOHN DIEKMAN TRUSTEE IP 298 999 727 <br /> 500 AIRPORT BLVD STE 220 ape of Service. <br /> BURLINGAME r1 LIJ Registered El CA CAI 94010 ) Certified ❑ COD <br /> Lit Express Mail ❑ Return Receipt <br /> for Merchandise <br /> Always obtain signature of addressee <br /> or:agent and DATE DELIVERED. <br /> 5. Si at — Address 8.1 Addressee' 'Address (ONLY if t <br /> X requested ee paid) i <br /> . Signature Agent t <br /> X <br /> 7. Date of Delivery <br /> i <br /> PS Form 3811, Mac 1988 + U.S.C.P.O. 1888-212-865 DOMESTIC RETURN RECEIPT <br /> I <br />
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