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Environmental Health - Public
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3500 - Local Oversight Program
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PR0544417
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/2/2019 1:43:31 PM
Creation date
5/2/2019 1:39:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544417
PE
3528
FACILITY_ID
FA0003741
FACILITY_NAME
JIFFY LUBE #598
STREET_NUMBER
1130
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
15120405
CURRENT_STATUS
02
SITE_LOCATION
1130 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
WNg
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EHD - Public
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�`• + <br /> m SENDER:A30 I also wish to receive the <br /> 'o ■Complete home 1 and/or 2 for additional se s . <br /> a ■Complete items 3,4a,and 4b. following services(for an <br /> m ■Print your name and address on the reverse oft a fo s�can return this extra fee): <br /> 1! card to you. g <br /> ■Attach this form to the front of the mallpiece,or on the back If space does not 1. ❑ Addressee's Address <br /> �► permit. ZW c <br /> m ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery <br /> ■The Return Receipt will showAoP#mie grtI166VetiverV4*d Late <br /> delivered. 1�'f�(( 4 LUU Consult postmaster for fee. TL <br /> o <br /> 3.Article Addressed to: 4a.Article Number <br /> CL <br /> E k 4b.Service Type j <br /> k°, CORRELL PROPERTIES ❑ Registered Certified <br /> en <br /> 285-INDUSTRIAL WAY ❑ Express Mail ❑ Insured c 1 <br /> WOODLAND CA 95776 - ❑ Return Receipt for Merchandise ❑ COD ' f <br /> r w <br /> 7.Date of Delivery <br /> 7 <br /> SE <br /> - -oG <br /> 5.Received By:(Print Name) 8.Addressee's Address(Only if requested r , <br /> and fee is paid) t <br /> « r <br /> g 6.Si a dd ee en <br /> a <br /> PS Form"118fl, December 1994 102595-97-13-0179 Domestic Return Receipt <br /> { - ZS 14';5 626 .-508 -.._ <br /> US Postal Service • ,. ,• r <br /> Receipt.fw Certif dd nhif- _` a <br /> CORRELL PROPERTIES n <br /> j285 INDUSTItAL-WAY._ <br /> F <br /> WOODLAND CA 95776- <br /> ( <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee b f <br /> Restricted Delivery <br /> 'fee <br /> _ <br /> rn Return Receipt Showing to <br /> Whom&Date Delivered - <br /> L Return Receipt Showing to Whom, <br /> Q. Date,&Addressee's Address r <br /> Q TOTAL Postage&Fees $ <br /> , <br /> th Postmark or Date <br /> E <br /> LL <br /> r` <br /> `3 <br /> e <br />
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