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CO0049646 (3)
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4200 – Liquid Waste Program
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CO0049646 (3)
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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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ENDER: COMPLETE THIS SECTION <br />0 Agent <br />El Addressee <br />C. Dfte of V elivery <br />/2d <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 />IN Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: <br />B. Received by (Printed Name) <br />Rich m•Tik (-4 17-.14., <br />WINE GROUP LLC <br />PO BOX 90 <br />TRACY CA 95378 <br />7 /11/22 C00049646 NA <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />UNIT II <br />HMI 11111111111 11111 II II <br />9590 9402 5616 9274 2242 95 <br />Article Number (Transfer from service label) <br />Service Type <br />0 Adult Signature <br />0 4dult Signature Restricted Delivery <br />Certified Mail® <br />0 Certified Mail Restricted Delivery <br />0 Collect on Delivery <br />Collect on Delivery Restricted Delivery <br />— • ' Mail <br />Mail Restricted Delivery <br />)0) <br />0 Priority Mail Express® <br />0 Registered M5IITM <br />0 Registered Mail Restricted <br />Delivery <br />0 Return Receipt for <br />Karchandise <br />iNtignature ConfirmatIonTM <br />0 Signature Confirmation <br />Restricted Delivery 7019 1640 0001 5361 8509 <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
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