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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CLOVER
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835
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3500 - Local Oversight Program
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PR0544565
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
6/14/2019 2:15:06 PM
Creation date
6/14/2019 2:01:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544565
PE
3528
FACILITY_ID
FA0025332
FACILITY_NAME
RALPH HAYES AND SON INC
STREET_NUMBER
835
Direction
W
STREET_NAME
CLOVER
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
835 W CLOVER RD
QC Status
Approved
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SJGOV\wng
Tags
EHD - Public
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P. <br /> 1A Z K 1994- <br /> Rec , for <br /> Certified Mail <br /> • No Insurance Coverage Provided <br /> ^o,E Do not use r International Mail <br /> (See Reverse <br /> Sent t°DON HOFFMAN <br /> DOE St & <br /> HO p 0 StatF and ZIP Code <br /> 19 3 LA CA,DENA <br /> DI 1`0 CA 94528 $ .29 <br /> Certified Fee 1.00 <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing 1.00 <br /> 0) to Whom&Date Delivered <br /> Return Receipt Showing to Whom, <br /> C Date,and Addressee's Address p <br /> TOTAL postage $ 2.29 <br /> O &Fees <br /> Postmark or Date <br /> ODM <br /> E <br /> 0 <br /> LL <br /> a / <br /> wish to receive the <br /> END (I following services (for an extra � <br /> • Complete items 1 and/or 2 for additional ser ges. ��� q y <br /> y i ' 1�[v3e can <br /> • Complete items 3,and 4a&b• �° t 1. 0 Addressee's Address N <br /> ` • Print your name and address on the reverse of this form so t a feel: G <br /> d return this card to you. <br /> or on the back if space <br /> • Attach this form to the front of the mailpiece, <br /> 2• ❑ Restricted Delivery <br /> 1W does not permit. <br /> Consult postmaster for fee. <br /> d . Write"Return Receipt Requested"on the mailpiece below the article num <br /> The Return Receipt will show to whom the article was delivered and the date C <br /> C delivered. 4a. Article Number 8 41 <br /> V 3. Article Addressed to: p 2 9$ 9 9 9 d <br /> m Cr <br /> ., 4b. Service Type ❑ Insured <br /> DON HOFFMAN Registered ❑ COD <br /> DON HOFFMAN & NIAVIS HOFF Certified <br /> 0 CADENA Return Receipt for <br /> 1953 LA jjxp[ass Mail ❑ Merchandise <br /> W DI8L0 CA 9 28 ` `W of eliverY o <br /> , T <br /> C J + g <br /> hdre N s A dr smy if requested Y.feai '5. Sinature (Addressee) v 1— <br /> 6. Signature (Agent) <br /> ` ,ru.s.aPo:+ee2-323.1o2 +DOMESTI ETURN RECEIPT <br /> a•ps Form <br /> 11, December 1991 <br />
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