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CO0047080
EnvironmentalHealth
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4200/4300 - Liquid Waste/Water Well Permits
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CO0047080
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Entry Properties
Last modified
7/23/2019 8:17:23 AM
Creation date
10/12/2018 11:29:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
CO0047080
PE
4300
STREET_NUMBER
2395
Direction
E
STREET_NAME
PESCADERO
STREET_TYPE
AVE
City
TRACY
Zip
95304
APN
21306013
ENTERED_DATE
7/13/2018 12:00:00 AM
SITE_LOCATION
2395 E PESCADERO AVE
RECEIVED_DATE
7/11/2018 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Tags
EHD - Public
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■ Comp6*iterrks 1,, 2, al 3. <br />■ Print your;name and address or� the reverse <br />so that VMcart' rieptn �te card you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />AARP `9ACCHETTI TR <br />1( 876 W TRACY BLVD <br />TI,ACY, CA 95304 <br />IIIIIIIII IIII IIIIII II I I II III I III Iilllll IIII III <br />9590 9402 3741 7335 6417 09 <br />2. Article Number (Transfer from service label) <br />7017 2400 0000 6058 4075 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />A.X Sig ature <br />�l{'V <br />�A <br />B. Received byy�grin ed Npmf)f U. <br />Is delivery address different from item 1? U Yes <br />r� address below: ❑ No <br />L f 20 its <br />3" SA t -S ❑ Priority Mail Expresso <br />❑ Adult Signature ❑ Registered MailW <br />❑ Adult Signature Restricted Delivery 0 Registered Mail Restricted <br />Delivery <br />19 Certified Mail@ ❑ Return Receipt for <br />El Certified Mail Restricted Delivery Merchandise <br />❑ Collect on Delivery ❑ Signature ConfirmationTM <br />❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation <br />❑ Insured Mail Restricted Delivery <br />❑ Insured Mail Restricted Delivery <br />Domestic Return Receipt <br />U.S�."Postal Service"' <br />CERTIFIED o RECEIPT <br />`n <br />rti <br />Domestic <br />0 <br />.,;.. <br />co <br />.. <br />ul <br />Certified Mail Fee <br />1] <br />$ <br />Extra Services & Fees (check box, add lee as appropriate) <br />❑ Return Receipt (hardcopy) $ <br />O <br />Q <br />r-1Return Receipt (electronic) $ <br />Postmark <br />Ej <br />❑ Certified Mail Restricted Delivery $ <br />Here <br />0 <br />❑ Adult Signature Required $ <br />❑ Adult Signature Restricted Delivery $ <br />O <br />Postage <br />O <br />-I <br />$ <br />fLl <br />Total <br />$ MARY BACCHETTI TR <br />r` <br />Sent 10£76 W TRACY BLVD <br />O <br />S«ee TRACY, CA 95304 <br />r- <br />■ Comp6*iterrks 1,, 2, al 3. <br />■ Print your;name and address or� the reverse <br />so that VMcart' rieptn �te card you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />AARP `9ACCHETTI TR <br />1( 876 W TRACY BLVD <br />TI,ACY, CA 95304 <br />IIIIIIIII IIII IIIIII II I I II III I III Iilllll IIII III <br />9590 9402 3741 7335 6417 09 <br />2. Article Number (Transfer from service label) <br />7017 2400 0000 6058 4075 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />A.X Sig ature <br />�l{'V <br />�A <br />B. Received byy�grin ed Npmf)f U. <br />Is delivery address different from item 1? U Yes <br />r� address below: ❑ No <br />L f 20 its <br />3" SA t -S ❑ Priority Mail Expresso <br />❑ Adult Signature ❑ Registered MailW <br />❑ Adult Signature Restricted Delivery 0 Registered Mail Restricted <br />Delivery <br />19 Certified Mail@ ❑ Return Receipt for <br />El Certified Mail Restricted Delivery Merchandise <br />❑ Collect on Delivery ❑ Signature ConfirmationTM <br />❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation <br />❑ Insured Mail Restricted Delivery <br />❑ Insured Mail Restricted Delivery <br />Domestic Return Receipt <br />
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