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CO0054987 (2)
EnvironmentalHealth
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4400 - Solid Waste Program
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CO0054987 (2)
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Entry Properties
Last modified
1/24/2023 3:58:08 PM
Creation date
1/24/2023 3:40:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4400 - Solid Waste Program
RECORD_ID
CO0054987
PE
4400
STREET_NUMBER
1909
Direction
S
STREET_NAME
B
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16918012
ENTERED_DATE
6/16/2022 12:00:00 AM
SITE_LOCATION
1909 S B ST
RECEIVED_DATE
6/16/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\ymoreno
Tags
EHD - Public
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A. Signature <br />D. Is deliyerx address different from itent 1 0 es If YES, enter delivery address below: r"ti No <br />JUL 0 1 2022 <br />B. Recel y (Printed Name) <br />l7.1 Agent <br />0 Addressee <br />of Delivery C. Da <br /> <br />2. Article Number (Transfer from service label) <br />7021 1970 0001 04 149 1871 ail Restricted Delivery <br />11111111 1111111111 111111111 111111111 111111111 <br />9590 9402 6812 1074 8943 32 <br />ERMIT/SEN <br />Adult Signature Restricted Delivery <br />Certified Mail® <br />ertified Mall Restricted Delivery <br />0 Collect on Delivery <br />Collect on Delivery Restricted Delivery <br />3. Service Type <br />Adult Signature <br />U.S. Postal Service- .11 *Air <br />CERTIFIED MAIL® RECEIPT <br />Domestic Mail Only <br />For delivery information. visit our website at www.usps.com9. <br />OFFICIAL <br /> <br />Ce ifiek cirliteeto <br />Extra Services & Feet x, add fee es stopropri <br />El Return Receipt (hardcopy) <br />Return Receipt (electronic) <br />Certified Mail Restricted Delivery $ <br />p Adult Signature Required <br />p Adult Signature Restricted Delivery $ <br /> <br />Postmark <br />Here <br /> <br />Postage <br /> <br />JOSE J PEREZ <br />1909 SOUTH B STREET <br />STOCKTON CA 95206-2468 <br /> <br />for Instructions <br /> <br />III Complete items <br />Print your =tali.. pirthe reverse <br />r so that we rf : • • Jo 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 />JOSE J PEREZ <br />1909 SOUTH B STREET <br />STOCKTON CA 95206-2468 <br />SENnEr:: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />..... <br />0 Priority Mail Express® <br />0 Registered Malin' <br />Registered Mail Restricted Delivery <br />Signature ConfirmatIonn" <br />Signature Confirmation <br />Restricted Delivery <br />PS Form 3811, July 2020 PSN 7530-02-000-9053 <br /> <br />Domestic Return Receipt <br />
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