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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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ELEVENTH
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1615
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3500 - Local Oversight Program
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PR0544799
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 10:19:51 AM
Creation date
9/3/2019 3:24:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544799
PE
3528
FACILITY_ID
FA0003872
FACILITY_NAME
DISCOVERY CHEVROLET
STREET_NUMBER
1615
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23227019
CURRENT_STATUS
02
SITE_LOCATION
1615 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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P 298; 999 7915 <br /> 15 94 <br /> ,�ieceip � <br /> rtified Mgj1� �Y"sF <br /> No Insurance Coverage Provided', <br /> Do not use for International Mail <br /> (See Reverse) <br /> Sent in B' <br /> THOMA'S J NOKES <br /> Street and No. . <br /> 1650 PARK ST <br /> P.O.,State and ZIP Code <br /> ALAMEDA CA 94501 <br /> Pestege' it <br /> 29 <br /> Certified Fee <br /> I! 1 —1.00 <br /> Specie!Delivery Fee <br /> 1 <br /> Restricted Delivery Fee <br /> Retum Reealpt Sho-,rag V <br /> ch to Whom d'i`Date Delivered 1.00 t4rl <br /> 1 Return Receiot Showing to Whom, <br /> 3{3{ c Date,and Addressee's A ,ess <br /> i. ddIp <br /> TOTAL Postage i <br /> C &Fees II 2.29 <br /> Postmark dr Date <br /> 0mo <br /> E w <br /> 1 <br /> rA <br /> m SENDER: ' v - <br /> ,y I also wish to re-11 the <br /> y Complete items 1 and/or 2 for additional services. <br /> y Complete items 3,and as&b. fOIIOWing Ser Vices°(for an extra U <br /> $2 • Print your name and address on the reverse of this form so that we can fee)?p, <br /> return this card to you, <br /> ` • Attach this form to the front of the mailpiece,or on the back if space 1. El ' e s. ss W <br /> does not permit. Y6 <br /> {Y • Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery <br /> • The Return Receipt will show to whom the article was delivered and the date V <br /> c delivered. Consult postmaster for fee. ! <br /> 3. Article Addressed to: 4a. Article Number E <br /> m P 298 999 795 � 1 <br /> a THOMAS J NOKES 4b. Service Type cc <br /> E 1650 PARK ST ❑ Registered ❑ Insured c <br /> ALAMEDA CA 94501 XX Certified ❑ COD <br /> '.N ❑ Express Mail ❑ Return Receipt for <br /> w Merchandise <br /> 7. D e of el' rytrequested <br /> ! <br /> p o ! <br /> Q T <br /> 5. Signature (Addressee) 8. Addressee's dd ssand fee is p d) s <br /> F <br /> 2 6. S' nature (Ag 1 +} <br /> 7 eB2 <br /> > PS Form 3811, December 1991 RU.S.GPO:t -323d0Y TIC RETURN <br /> DO RECEIPT <br /> J <br /> I� <br />
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