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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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1230
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3500 - Local Oversight Program
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PR0544197
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/27/2019 3:54:14 PM
Creation date
2/27/2019 2:20:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544197
PE
3528
FACILITY_ID
FA0005430
FACILITY_NAME
LODI ACADEMY
STREET_NUMBER
1230
Direction
S
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
04728001
CURRENT_STATUS
02
SITE_LOCATION
1230 S CENTRAL AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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. : �. 3 1994 <br /> Receipt for <br /> - Certified Mail <br /> No Insurance Coverage Provided <br /> UNITED STATESDo not use for International Mail <br /> nOSTAE SE-E <br /> (See Reverse) <br /> Sent to BILL HAMMACK <br /> #q �111ttla <br /> 1230 S CENTRAL AVE <br /> LODle a`Tc AP Codg 5 24 0 <br /> Postage <br /> .29 <br /> Cetrfied Fee <br /> 1.00 <br /> Speciai De.very Fee <br /> Restricted De,-very Fee <br /> Return Receipt Show,ng <br /> p) to Whom&Date Delivered <br /> N Return Receiot Showing to Whom, <br /> . C Date,and Addressee's Address <br /> IUFA�Postage <br /> &Fees <br /> Postmark or Date <br /> E <br /> `o <br /> LL <br /> U) a6 wish to receive the <br /> rn Complete items 1 and/or 2 for additional services. following rvices (for an extra V <br /> • <br /> Comp,,_amus 3,and 4a&b. ."16. C1 19 �' •� <br /> H • Print your name and address on the reverse of this form so that we can fee ¢ ' - <br /> 4) return this card to you. <br /> y • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address N <br /> r <br /> does not permit. tS <br /> N • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery y <br /> • The Return Receipt will show to whom the article was delivered and the date V <br /> Consult postmaster for fee. 0) <br /> delivered. <br /> 4a. Article Number <br /> 0 3. Article Addressed to: P 298 999 863 <br /> +, <br /> a BILL HAMMACK 4b. Service Type 11= <br /> E NO CAL CONF 7TH ❑ Registered ❑ Insured <br /> o c <br /> DAY ADVENTIST Certified ❑ CODWz <br /> H <br /> 1230 S CENTRAL AVE El piss Mail E] Return Receipt for <br /> W .. Merchandise c <br /> p LODI CA 95240 7. Date of De_liv ry <br /> p o <br /> ddresse 8. Addressee's dress(Only if requested <br /> and fee is aid) _ <br /> W 6. ign re (Agent) <br /> T PS Form 3811, December 1991 *U.S.GPO:19g3-352-714 D ES RETURNECEIPT <br /> y <br />
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