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CO0054196
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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S
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SANTA FE
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19176
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4300 - Water Well Program
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CO0054196
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Entry Properties
Last modified
4/6/2023 11:20:19 AM
Creation date
4/6/2023 11:18:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
CO0054196
PE
4300
STREET_NUMBER
19176
Direction
S
STREET_NAME
SANTA FE
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22736012
ENTERED_DATE
8/26/2021 12:00:00 AM
SITE_LOCATION
19176 S SANTA FE RD
RECEIVED_DATE
8/26/2021 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\bmascaro
Tags
EHD - Public
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rY <br />ent <br />dressee <br />Deliv <br />D. Is delivery address different from item 1? • Yes <br />If YES, enter delivery address below: 0 No <br />UNIT II <br />U.S. Postal Service" <br />CERTIFIED MAIL® RECEIPT <br />Domestic Mail Only <br />For delivery information, visit our website at www.usps.conr. <br />ru <br />I-1 <br />171 <br />r-R <br />1=I <br />ESCALON CA 95320 <br />Certified Mail Fee <br />Extra Services & Fees (check box, add fee as appropriate) <br />0 Return Receipt (hardcopy) $ <br />ID Return Receipt (electronic) $ <br />Certified Mall Restricted Delivery $ <br />0 Adult Signature Required $ <br />0 Adult Signature Restricted Delivery $ <br />Postage <br />Postmark <br />Here <br />Total Postage or ACEVES, JAVIER & MARIA A TR <br />28300 CARTER RD ent To <br />street and Apt. I% <br />City, State, ZIP+, 09/02 /2 021 C00054196 TS <br />PS Form 3800, April 2015 PSN 7530-02-000-9047 See Reverse for Instructions <br />SENDER: COMPLETE THIS SECTION <br />II 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 />III Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />ACEVES, JAVIER & MARIA A TR <br />28300 CARTER RD <br />ESCALON CA 95320 <br />09/0 2 /2 021 C00054196 AG <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />0 Priority Mail Express® <br />Registered MailT" <br />0 Registered Mail Restricted <br />Delivery <br />Return Receipt for <br />yerchandise <br />ViSignature Confirmation.'" <br />O Signature Confirmation <br />Restricted Delivery <br />Domestic Return Receipt <br />I II I I III 11111 1111 I 111 11 1111111 <br />9590 9402 506 9274 2245 16 <br />2. Article Number (Transfer from service label) <br />3. Service Type <br />Adult Signature <br />0 Adult Signature Restricted Delivery <br />.37.0 ertified Mail® <br />0 Certified Mail Restricted Delivery <br />0 Collect on Delivery <br />0 Collect on Delivery Restricted Delivery <br />' ' 'Aail 7019 1640 0001 5361 8271 ail Restricted Delivery <br />())
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