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SITE INFORMATION AND CORRESPONDENCE
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOUISE
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1196
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3500 - Local Oversight Program
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PR0545438
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/9/2020 4:31:40 PM
Creation date
3/9/2020 1:19:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545438
PE
3528
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
02
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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1 <br /> f <br /> m SEND ,also wish to receive the <br /> :coom a 't o 2 for ti s ' <br /> rn ■ to i ems ,aa,and ab. `following services(for an'' <br /> m ■Print our name and address on the reverse of this fo at we can return this e> , <br /> card to you. ° <br /> > ■Attach this form to the front of the mai ce or on b if space o of VIA s ddress <br /> LP permit. at <br /> ■Write'Retum Receipt Requested-on the ai ie w 2. ❑ Restricted Delivery (n <br /> r ■The Return Receipt will show to whom t a wa de an the to <br /> delivered. p Consult postmaster for fee. ° <br /> ° 4a.Article Number <br /> � 3.Article Addressed to: <br /> E GEORGE & H YAMASHITA 4b.Service Type «' <br /> 0 QUICK STOP MARKET #121 ❑ Registered Certifiedco <br /> CAI °C � <br /> 3465 CANYON CREEK DR I ❑ Express Mail d Insured 9, <br /> Cn <br /> Uj <br /> SAN JOSE CA 95132 ❑ Retum Receipt for Merchandise ❑ COD <br /> a ` 7. ate of Delivery. ° <br /> I f/ ` `" o <br /> MV. naturef(Addre <br /> ed By: n Na e) 8.A ressee' ddress(Only if requested . <br /> Lu <br /> and fee is a ) cc, <br /> gss or Agent) <br /> o X <br /> a <br /> PS Form 3811, December 1994 102595-97-B-017Domestic Return Receipt <br /> Z 224 364 -3.9.4_ <br /> US-Postal02 °` <br /> Receipt for Certi if edMaii�_ " <br /> GEORGE & H YAMASHITAT" 2: <br /> QUICK STOP MARKET #12i <br /> 3465 CANYON CREEK DR - <br /> SAN JOSE CA 95132 <br /> j <br /> Postage i $• <br /> certified Fee <br /> Special Delivery Fee. - <br /> Restricted Delivery,Fee _ - <br /> LO <br /> t <br /> Return Receipt Showing to - <br /> Whom&Date Delivered = <br /> o Retum Receipt Stowing to Whom, <br /> Q Date,&Addressee's Address <br /> QTOTAL Postage&Fees <br /> Postmark or Date <br /> U. <br /> a L� <br />
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