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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BYRON
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12750
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3500 - Local Oversight Program
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PR0544143
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/13/2019 3:04:30 PM
Creation date
2/13/2019 2:14:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544143
PE
3528
FACILITY_ID
FA0004719
FACILITY_NAME
CALDRONS GENERAL STORE
STREET_NUMBER
12750
Direction
W
STREET_NAME
BYRON
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
12750 W BYRON RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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R 298 999 734 <br /> - Rwo, <br /> Cer &i1993 <br /> 77�.,_ No Insurance Coverage Provided <br /> Do not use for International <br /> (See Reverse) Mail <br /> Sect•�; <br /> & L V <br /> Heel and VL <br /> YRON RD <br /> P.0.Slat,.-jnd ZIP�'pr"' <br /> TRACY CA 95376 <br /> Postage <br /> Cr rtdied Fee $ .29 <br /> Specie' Fee 1. 00 <br /> Restricted Deiwery Fee <br /> Return Receipt Showing <br /> !o Whom&Date Delivered <br /> y R(!urn Receipt Showing to whom 1 . 00 <br /> jDate,arid Addressee's Address <br /> TOTAL P. <br /> Cage <br /> C &Fees <br /> 00 Postmark or pate 2.29 <br /> 0 <br /> M <br /> E <br /> o` <br /> LL <br /> A. rn <br /> Q- <br /> R. <br /> H • as items 1 and/or for additional services. <br /> m Rgmc 3,and 4a'1:8,b. I also wish to receive <br /> r print your name and address on the reverse of this form so that we can the <br /> return this Card to you. f011OWin <br /> g services (for an extra <br /> m • Attach this form to the front of the mailpiece,or on the back if space fee): <br /> m does not permit. 9 <br /> .L+ Write"Return Receipt Requested"on the mailpiece below the article number. 91 ` <br /> c • The Return Receipt will show to whom the article was delivered and the date eSS <br /> delivered. 2• ❑ Restricted Delivery «. <br /> m 3. Article Addressed to: Consult a <br /> Postmaster for fee. 0 <br /> m ALFRED F & L V 4a. Article Number °7 <br /> a CALDRON P 298 999 <br /> U <br /> CALDRONS GENERAL STORE 734 c <br /> 4b. Service Type <br /> N 12750 W BYRON RD ❑ Registered <br /> ❑ Insured cc <br /> U TRACY CA 95376 Certified ❑ COD <br /> ❑ Express Mail ❑ Return Receipt for <br /> Q N <br /> Q Merchandise <br /> 7. Da e�peiivery • <br /> —l/ <br /> cc <br /> 5. ignature (Addr ssee) �Q <br /> F- 8. Addressee's <br /> w and fee is p d) res (Only if requested Y <br /> cc 6. Signature (Agent) <br /> � ro <br /> o r <br /> PS Form $ ~ <br /> 11, December 1991 *U.S-QP0:1992--�323.gp2 p0 <br /> TIC RETURN RECEIPT <br />
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