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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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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 321'09:: 359 <br /> US Po IDe APR 111996 <br /> Receipt-for Certified Mail <br /> DON AND MAVIS HOFFMAN <br /> 11828 DUBLIN BLVD <br /> DUBLIN CA 94568 <br /> Postage $ � <br /> Certified Fee l <br /> Special Delivery Fee <br /> Reddded Delivery Fee <br /> rnReturn Receipt Showing to l <br /> Whom&Date Delivered <br /> RAgn RWAA S VAV to"On. <br /> Dale,&Addressee's Address <br /> O TOTAL Postage&Fees <br /> c0 <br /> M postmark or Date <br /> 0 <br /> LL <br /> CL <br /> also wish to receive the <br /> H <br /> • om s d 2 ora dition rvi es. �erviceft �n �� � <br /> H • o ite and 4a&b. <br /> we n f <br /> U) <br /> .+ nt your name and address on the reverse f t is or so m <br /> return this card to you. k' ace 1. ❑ Addressee's Address y <br /> m • Attach this form to the front of the mailpi e,o <br /> G <br /> does not permit. ow he article bar. 2. ❑ Restricted Delivery <br /> _. . Write"Return Receipt Requested"on the ma Consult postmaster for fee. <br /> • The Return Receipt will show to whom the article was delivered and the datecc <br /> c delivered. Article Number c <br /> 3. Article Addressed to: �. ' 0 <br /> 'o \ d <br /> --- - --- — cc <br /> 4b. Service Type <br /> � DON AND MAVIS HOFFMAN ❑ Registered ❑ Insured -_ <br /> Certified ❑ COD <br /> c0� 11828 DUBLIN BLVD Return Receipt for � <br /> N DUBLIN CA 94568 Express Mail ❑ Merchandise c <br /> 7. Date o Delivery o <br /> —12— <br /> a" g. Add a see's Address( my if requested <br /> 5. Si n ture A dre see) and e i paid)cr <br /> t <br /> F- <br /> F-. <br /> 6. Signature (Agent) <br /> :I- PS Form 3811, December 1991 *U.S.GPO:1993-352-�t4 E TIC RETURN RECEIPT <br /> i <br /> 2 <br />
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