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SITE INFORMATION AND CORRESPONDENCE (2)
EnvironmentalHealth
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23569
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2900 - Site Mitigation Program
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PR0541936
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SITE INFORMATION AND CORRESPONDENCE (2)
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Last modified
5/18/2020 11:15:09 AM
Creation date
5/18/2020 10:55:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0541936
PE
2957
FACILITY_ID
FA0006149
FACILITY_NAME
RANCH MARKET
STREET_NUMBER
23569
Direction
S
STREET_NAME
SANTA FE
STREET_TYPE
RD
City
RIVERBANK
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
23569 S SANTA FE RD
QC Status
Approved
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LSauers
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EHD - Public
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that w��^L return the card to you, p g, Received by(Panted Name) C. Date of Delivery <br /> ■ Attach th 9J��e��'pf the mail lace, - <br /> or on the front if space ds. u�T ry �.. __ <br /> t. Article Atldressed to: D. Is tlelNery address differenffromttem 4?�Ld�`+"�,Sl��_ill <br /> If YES,enter delivery address below: � o —.�_ <br /> OCT 2 ? Z001 <br /> 4225 GREEN KNOLL ROAD <br /> SALIDA CA 95368 a. s Ice Type �' <br /> ertified Mail ❑Fxpress Mail <br /> 23569 S SANTA FE RD—NOR Registered ❑ Return Receipt for Memhandise <br /> ❑ Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> z- ArticlelVumber 7006 X810 �D00 6564 3473 <br /> (transfer/rom <br /> PS Form 3811,February 2004 Domestic Return Receipt tozsss-oz-rn-tsao <br />
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