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CO0049646 (3)
EnvironmentalHealth
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4200 – Liquid Waste Program
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CO0049646 (3)
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Entry Properties
Last modified
11/19/2024 4:00:53 PM
Creation date
1/24/2023 1:13:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0049646
PE
4200
FACILITY_NAME
WINE GROUP
STREET_NUMBER
17400
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366
APN
24505001
ENTERED_DATE
4/16/2019 12:00:00 AM
SITE_LOCATION
17400 E HWY 120
RECEIVED_DATE
4/9/2019 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\ymoreno
Tags
EHD - Public
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A. Signature <br />X <br />o Agent <br />1:3 Addressee <br />C. at D very <br />II IIII 11111 <br /> <br />II <br /> <br />III 111111111 <br /> <br />9590 9402 5616 9274 2248 13 <br />ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <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 />Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />WINE GROUP LEE <br />P.O. BOX 90 <br />TRACY, CA 95378 <br />D. Is delivery address different from item 1? Yes <br />If YES, enter delivery address below: 0 No <br />2 Article Number (Transfer from service label) <br />'019 1640 0001 5361 7977 <br />3. Service Type C Priority Mail Express® <br />0 Adult Signature 0 Registered MailTM <br />0 /Vet Signature Restricted Delivery 0 Registered Mail Restricted <br />NZertified Mail® Delivery <br />0 Certified Mail Restricted Delivery 0 Return Receipt for <br />0 Collect on Delivery Merchandise <br />0 Collect on Delivery Restricted Delivery 0 Signature Confirmation"' <br />0 Insured Mail , 0 Signature Confirmation <br />0 Insured Mail Restricted Delivery Restricted Delivery <br />(over $500) <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 Dgrustic Return Receipt
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