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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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1048
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3500 - Local Oversight Program
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PR0544939
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
10/18/2019 9:05:50 AM
Creation date
10/18/2019 9:02:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544939
PE
3528
FACILITY_ID
FA0000508
FACILITY_NAME
7-ELEVEN INC #17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
02
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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L `-b+r'l��t-Ye'y i�kj'x — <br /> CO D <br /> C3 <br /> ru <br /> Ln ra : <br /> v <br /> ru i. <br /> ..C7 <br /> r` IF:ee <br /> Certified <br /> d Postmark <br /> Return ReMere <br /> (Endorsement t7 Restricted DelM (Endorsement <br /> C3 <br /> ru Total Postage <br /> REN HILLARD <br /> O entTo 7_ELEVEN CORPORATION <br /> C3 P 0 BOX 711 <br /> f$freef,Apf.No.; <br /> orPO,9oxNo. DALLA$ TX 75221-0711 <br /> Ciry,Stale,ZlPf <br /> L Complete items 1,2,and 3.Also complete &p w! <br /> ,��-- ❑Agent <br /> item 4 if Restricted Delivery is desired. X ❑Addressee <br /> st Print your name and address on the reverse -- — <br /> so that we can return the card to you. B. Received by(Printed Name) r�t�pf 14� ry <br /> t Attach this s t o a the mailpiece, <br /> i y L1LL.. <br /> or on the frvftiiP%3 i <br /> D. Is delivery address different from item 1? r7 Yes <br /> 1. Article AddresaAlll to: If YES,enter W ivery address belo% 0 No <br /> A->R <br /> KEN HILLARD <br /> 7—ELEVEN CORPORATION 3. Service Type <br /> p Cortitied Mail E Expees5 M&& <br /> P 0 BOX 711 I /❑R`egistered ❑Return Receipt for Merchandise <br /> DALLAS TX 75221-0711 --❑—lnsu—red Mail ❑C.O.D. <br /> RI estricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Num <br /> (Transfer fron• 7002 2030 0001 7625 2238 <br /> PS Form 3811,August 2001 Do stir eturn Receipt 102585-02-M-1540 <br /> /oq q-0 'yAv��� <br />
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