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CO0052206 (2)
EnvironmentalHealth
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4300 - Water Well Program
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CO0052206 (2)
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Entry Properties
Last modified
10/19/2021 3:43:10 PM
Creation date
10/19/2021 3:39:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
CO0052206
PE
4300
STREET_NUMBER
11293
Direction
S
STREET_NAME
MANTHEY
STREET_TYPE
RD
City
LATHROP
Zip
95330
APN
19125014
ENTERED_DATE
7/6/2020 12:00:00 AM
SITE_LOCATION
11293 S MANTHEY RD
RECEIVED_DATE
7/6/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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Certified Mail Fee ill111=11 <br />Extra Services & F (check box, ad <br />D Return Receipt (hardcopy) <br />Return Receipt (electronic) <br />Certified Mail Restricted Delivery $ <br />D Adult Signature Required <br />Adutt Signature Restricted Delivery <br />II II II III III <br />Receipt Domestic Return <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />4 <br />U.S. Postal Service"' <br />CERTIFIED MAIL® RECEIPT <br />Domestic Mail Only <br />SENDER: COMPLETE THIS SECTION <br />Complete items 1,2, and 3. <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />II Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: X.A./1/1.4.vt - <br />SINGH PETROLEUM INVESTMENT INC <br />17900 MURPHY PKWY <br />LATH ROP, CA 95330 <br />11\ <br />JUL 1 4 2020 <br />12()N MENTAL I-1 E i-k LT i <br />03. Service Type ! '-' '" \ - ' 1 ' " 'Pr!iority mail Ex; <br />0 Adult Signature \ <br /> <br />0 Registered Mail <br />0 Ault Signature Restricted Delivery 0 Registered Mali <br />I <br />a...cerified Mail® Delivery <br />0 Certified Mail Restricted Delivery 0 Return Receipt <br />0 Collect on Delivery Merchandise <br />0 Collect on Delivery Restricted Delivery 0 Signature Confi <br />El Insured Mail 0 Signature Conf <br />0 Insured Mail Restricted Delivery Restricted Deli \ <br />(over $5001 <br />Article Number (Transfer from service label) <br />7019 1640 0001 5361 8912 <br />C <br />COMPLETE THIS SECTION ON DELIVERY <br />Signature <br />X V— C- <br />Received (P4/ltey.1 Name) <br />( <br />Agento <br />0 Addressee <br />Date of Delivery <br />D Is derive OciresvIrffIrprtt frolkjit? <br />If YES, en1L8.41Ary klditsd b . <br />9590 9402 5616 9274 2249 12 <br />ress® <br />Restricted <br />or <br />matIonn, <br />mation <br />ery <br />o Ye: <br />0 No <br />For delivery information, visit our website at www.usps.com . <br />Postmark <br />Here <br />SINGH PETROLEUM INVESTMENT INC <br />17900 MURPHY PKWY <br />Street anc <br /> LATHROP, CA 95330 <br />Postage <br />Total Post <br />Sent To <br />City, State <br />PS Form
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