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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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EHD - Public
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MM 31UMUG�a a� IM IV <br /> SENDER: COMPLETE THIS SECTION <br /> 11 COMPLETE THiS SECTION ON DELIVERy <br /> ■ Complete items 1,2,and 3.Also complete A. signature <br /> item 4 ifestricted Delivery is desired. <br /> ■ PrrAfA tea@;&ddress on the reverse X 0 Agent <br /> so that we can return the QEF 0 Addressee <br /> ■ Attach this card to the bac cT„{O the mai piece, <br /> B Received by(Panted Name) C. Date of Delivery <br /> or on the front if space permits. Di� r <br /> 1. Article Atldressetl to: D. Is I' 1? 0 Yes <br /> If YES,enter delivery address below: 0 No <br /> SEP 2 on 2007 <br /> HUBA GDBARY ENVIRONMENT HEALTH <br /> 4228 GREEN KNOLL RD - <br /> SALIDA GA 95368 9. ❑11 Ceti <br /> Type <br /> Certified Mall ❑Express Mail <br /> 0 Registered 0 Return Receipt for Merchandise <br /> • 0 Insured Mail 0 C.O.D. <br /> 4 0. Restdcted Delivery?Prim Fee) yes <br /> 2. Article Number <br /> (r—sfer from service/at 7003 2260 0003 3185 7304 <br /> PS Form 3811,February 2004 Domestic Return Receipt <br /> 102595-02-M-1540 <br />
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