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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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7500
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3500 - Local Oversight Program
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PR0544801
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 10:19:51 AM
Creation date
9/4/2019 10:50:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544801
PE
3528
FACILITY_ID
FA0003210
FACILITY_NAME
TEXACO TRUCK STOP
STREET_NUMBER
7500
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
25015018
CURRENT_STATUS
02
SITE_LOCATION
7500 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SEND ` <br /> ■Com eW- <br /> of 2 for additional services. I also wish to receive the■Completend 4b. follow erviCes(for an f <br /> IV ■Print your name and address on the reverse oft o we can return this extra I <br /> i , card to you. 121999 <br /> ■ANach this farm to the front of the ai ce,or aced of <br /> m m AttachpermitsP 1. ❑ Addressee's Address 2 <br /> d i■Write'Retum Receipt Requested'o th is a 2. ❑ Restricted Delivery N <br /> wThe Return Receipt wit!show to wh m a t e a e ivered t to <br /> delivered. Consult postmaster for fee. .a f <br /> 0 <br /> M 3.Article Addressed to: 4 rtic b ami , <br /> E (ART. NAVARRLI �� 4b.Service Type w <br /> c <br /> m[r y BLEWETT RD �� ❑ Registered Certified <br /> uJ TRAGY CA 95376 ❑ Express Mail Insured A <br /> c <br /> r <br /> p Return Receipt for Merchandise El COD L ° <br /> d 7.Da of Delivery <br /> 5.Received By: (Print Name) 8.Addressee's A rens(Only if requested c <br /> I-- <br /> �-^ A and fee is paid r <br /> 5 5 � <br /> o' 6.Signature: (Addressee orAgent) <br /> X <br /> Zh <br /> PS Form 381 1, December 1994 DorriestiC Return ReCeipt <br />
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