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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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Entry Properties
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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Tags
EHD - Public
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1, Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted DeNvery is desired. X e ❑Agent <br /> •. Print your name and address on the reverse ❑Addressee <br /> so that we I tit ,rrrth��to you. g, to y m� e � 1 elive <br /> r Attach this�� gtdth badfPtif the mailpiece, ry <br /> or on the front if space permits. <br /> D. ds. ery aclai6 different from item 1? ❑Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: ❑No <br /> ALIKE KARVF.I.OT ,XK QUIK STOP MARKETS ertified Mail 13Express Mail <br /> 4567 ENTERPRISE STREET Registered ❑Return Receipt for Merchandise <br /> FREMONT,CA 94538 ❑Insured Mail ❑C.O.D. <br /> 1 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7004 2510 0004 3876 9068 <br /> (Transfer from servicg, <br /> PS Form 3811,February 2004 Domestic Return Rc celpt <br /> t)'y} C nIC. o • � ,• • • r n. Ott t. <br /> o Complete items 1,2,and 3.Also complete Signature ,ffi`� <br /> item 4 if Restricted Delivery is desired. ��t, D <br /> ❑ Print your name and r address on the reverse Agfdressee <br /> so that ',7- -reTu t to ou. <br /> • c•+ ,i 'l7 Y B. Received by(Printed Name) n—., <br /> of Iry ry <br /> ❑ Attach thr3 to the back of the mailpiece, aor on the front H space permits. D. Is delivery addrd.;d d(fete6t from Item 1? 'Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> 3 7 <br /> Mike Karvelot <br /> Quik Stop Markets 3. Syvice Type <br /> 4567 Enterprise Street Certified Mail ❑Express Mail <br /> Fremont, CA 94538 �,❑ egistered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7004 2510 0004 3876 8955. <br /> (rrarmforftmSCM&& _-_- _--- . -- - <br /> PS Form 3811,February 2004 Domestic Return Receipt °soaM-ts4o <br /> �I,.�, ' o �,�[�-lr(r�'ICc3Q.. � • o .I�I"11r1!k�C�.. <br /> o 0 0 Lr) a r1 �•n o o <br /> Ln <br /> C3 C7 <br /> �� � <br /> � <br /> CD � G II-, f Ci', 1L L --7 -" ter _ <br /> m - Postage• $ m Postage $ . <br /> r3 Certified Fee C3 CertYle 9 Fee <br /> r-3 Postmark 0 Postmark <br /> O Returp Rece!pt Fee Here O Return Recent Fee Here <br /> (Endorsement Required) (Endorsement Required) <br /> Restricted Delivery Fee Restricted Delivery Fee <br /> rq (Endorsement Required) r�rl (Endorsement Required) <br /> rU - ru – - <br /> Tots Total Pa Mike Karvelot <br /> o MIKE KARVELOT o SSW To <br /> C3 QUIK STOP MARKETS�aee 4567 ENTERPRISE STREET Quik Stop Markets <br /> •---- D- ------ - 4567 Enterprise Street <br /> � <br /> or Pc __•_ or Polio) Fremont, CA 94538 ..___... <br /> �jry- FREMONT,CA 94538 d bh <br />
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