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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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3500 - Local Oversight Program
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PR0545195
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
1/23/2020 12:02:14 PM
Creation date
1/23/2020 11:40:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545195
PE
3528
FACILITY_ID
FA0002915
FACILITY_NAME
TRACY MARKET INC
STREET_NUMBER
15
Direction
E
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
21435004
CURRENT_STATUS
02
SITE_LOCATION
15 E GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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� e <br /> Page 2 <br /> SITE CODE: 1404 <br /> SITE NAME: THE CUSTOMER COMPANY #37 - <br /> 15 E GRANT LINE RD <br /> TRACY CA 95376 - - <br /> r RESPONSIBLE PARTY(IES): <br /> Z.;,IF187 - 935 911 <br /> US Postal Service <br /> THE CUSTOMER COMPANY Receipt for Certified Marr <br /> JOHN JOHNSON No Insurance Coverage Provided. <br /> 4457 PARK RD - <br /> BENICIA CA 94510 JOHN JOHNSON I <br /> THE CUSTOMER CO 1 <br /> s 4 4 5 7 :'PARK RD – <br /> JOHN & F SALLABERRY ETAL , <br /> BENECIA CA 94510 <br /> . 1905 KRUGER DR { <br /> MODESTO CA 95355 -:; U ="- 7 X999 <br /> Special Delivery Fee <br /> r <br /> Restricted Delivery Fee <br /> L <br /> Return Receipt Showing to <br /> Whom&,Date Delivered y <br /> a Return Receipt Showing to whom, <br /> i Q Date,&Addressee's Address <br /> ( aoo TOTAL Postage&Fees $ <br /> II Postmark or Date <br /> E <br /> LL <br /> Cl) <br /> 7 a. • - . <br /> l <br /> m,'$ I also wish to receive the <br /> o ■Vomplete items 1 and/or'2 for additional services. following services(for an <br /> iA ■Complete ttems 3,4a,and 4b. <br /> d '■Print your name and address on the r arse of i4es <br /> we can r u this extra fe <br /> 12 card to you. � � MS v <br /> ■Attach this form to the front of the me pie ace d of 1. esse S SSpe2.❑ Restricted Delivery■Write"Return Receipt Requested"on th mai crticl N <br /> ■The Return Receipt will show to whom the article was delivere d t e ate Consult postmaster for fee. a <br /> delivered. <br /> c �4a.Article Number <br /> JOHN JOHNSON ll/T' 6 VV / c <br /> Z THE CUSTOMER CO =4b.Service Type <br /> E Certified <br /> 4457 PARK RD �❑ Registered ¢ <br /> .F <br /> BENECIA CA 94510 -.❑ Express Mail ❑ Insured <br /> w' ;❑ Return Receipt for Merchandise ❑ COD 3 <br /> ccL <br /> G !7.Date of Deli ery <br /> ` —,,- 0 <br /> 5.Received By: (Print Name) ~8.Addressee's Address(Only if requested Y <br /> and fee is aid) ria <br /> 6.Si ur ddressee or Agent) <br /> H PS Fo 81 ,December 1994 to2sss-se-B-o22s DO estic Return Receipt <br />
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