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CO0011979
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0011979
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Entry Properties
Last modified
11/19/2024 10:20:59 AM
Creation date
2/7/2019 12:52:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0011979
PE
4200
FACILITY_ID
FA0012825
FACILITY_NAME
JACKS PLACE
STREET_NUMBER
7939
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
ENTERED_DATE
3/25/1999 12:00:00 AM
SITE_LOCATION
7939 W 11TH ST
RECEIVED_DATE
3/25/1999 12:00:00 AM
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
ADMIN
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\7939\CO0011979.PDF
Tags
EHD - Public
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SENDER: S � Tip <br /> ac01AaNe items 1lnNa ZZ ror WM W MMvloa 5f' I also wish to receive the <br /> % eCnmgae Name 31 4a;old Ab, following services(far an <br /> I Pdrd your name and Address on the reverie of this loan w Ihet we cen velum thio <br /> card to you. extra fee): yy <br /> e Attach this form to the front Of the mallplece,or on the back II space does not p <br /> d permit 1. ❑ Addressee's Address <br /> p a Write'Return Receipt Requested'on the meilpm.below the article number. y <br /> •The Return Receipt will show to whom the anile was delivered and the date 2. El Restricted Delivery y <br /> a delivered. <br /> o Consult postmaster for fee. <br /> v 3.Article Addressed to: <br /> e 4a.Article Number <br /> - 30 (0 �7 <br /> E MR AND MRS JACK MAH 4b. service Type <br /> 7939 W ELEVENTH ST ❑ Registered ❑ Certified <br /> TRACY CA 95376 ❑ Express Mail ❑ Insured <br /> ❑ Return Receipt for Merchandise ❑ COD 3 <br /> 7. Dat"f Duel <br /> 5 `, y <br /> T <br /> 5. Received By: (Pont Name) 8.Addressee's Address(Only i/requested <br /> and fee is paid) <br /> e6. Signet : ( ddressee or Agent) <br /> a <br /> X / G <br /> Ps Fo 11, De ember 1994 102595-er-e-0ns Domestic Return Receipt <br />
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