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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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SJGOV\sballwahn
Tags
EHD - Public
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I <br /> I <br /> C. SEN f <br /> o ■E te't. or ora ition 1 also Wish to receive the <br /> m ■Co ate llama 3,4a,and 4b. eO�fVyi�g.$@rvjFeS(for r 8r1_ <br /> 2 ■Print your name and address on the reverse of this form t we can return this a ®22 <br /> card to you. <br /> > ■Attach this form to the front of the rppil 'e or on tb if pace s n 1. 13 Addressee's Address <br /> ` permit. f� <br /> ■Write'Return Receipt Requested'on't m p' elo n or. 2. ❑ Restricted Delivery N. <br /> ■The Return Receipt will show to whom e e as a ivere n ate O <br /> delivered. �" Consult postmaster for fee. �. <br /> v 3.Article Addressed to: a Art* le Number i <br /> a MIKE KARVELOT "� E <br /> E QUICK STOP MARKETS INC 4b.Service Type - <br /> QUICK <br /> i <br /> P O BOA 5745 ❑ Registered Certified 0 <br /> u <br /> ❑ Express Mail Insured �c, <br /> u FREMONT CA 94537 y `, <br /> p y ❑ Return Receipt for Merchandise ❑ COD <br /> z7.Date of Deliv rte,•, <br /> 5.Received By:(Print Name) A� t/h �,� 8.Addressee's Address(Only if requested ` <br /> w r'1 1 E "� and fee is paid) r <br /> 6.Signature: (Addressee <br /> X ty " <br /> ' <br /> PS Form 3811, Dece(nber 1994 102595-97-13-0179 Domestic Return Receipt <br /> - - <br /> a <br /> Z ',2.24 ` 364 3.93 a <br /> US Postal Service r i <br /> Receipt for Certified Mail <br /> Big <br /> - MIKE KARVELOWN 0 .2 1998" <br /> QUICK STOP MARKETS �INCM Tt _ <br /> P 0 BO%-.5745 _...+�...._,_ <br /> FREMONT CA- 94537 <br /> Postage - $ ;1 T <br /> Certified Fee + <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Lo <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> n Return Reo*Showing to Whom, <br /> Q Date,&Addressee's Address <br /> CDTOTAL Postage&Fees $ <br /> C") /Po o Dat <br /> o o - <br /> I <br /> � I <br />
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