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SITE INFORMATION AND CORRESPONDENCE
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
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EHD - Public
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Z 128 782 715 1 Z 128 782 714 <br /> US Postal Service US Postal Service <br /> Receipt for Certified Mail Receipt for Certified Mair <br /> No Insurance Coverage Provided. No Insurance Coverage Provided. <br /> Do not use for International Mail(See reverse) grinnt use for International Mail(See reverse <br /> CORRELL PROPERTIES <br /> JIFFY LUBE/BROADBASE INC 285 INDUSTRIAL WY <br /> C/O DON FOWLER WOODLAND CA 95776 <br /> 3990 W YOSEKITE RD <br /> LATHROP CA 95330 <br /> E <br /> Special Delivery Fee <br /> Restricted Delivery Fee Restricted Delivery Fee <br /> IV.4 71 L4,1 <br /> c- SENDER: I also wish to receive the <br /> ■Complete hems 1 and/or 2 for additional services. following services(for an <br /> 'N ■Complete items 3,4a,and 4b.- <br /> Print your name and address on the reverse of this form so that we can return this extra fee): <br /> card <br /> Attach this h yi u. <br /> ■ form to the front of the mailpiece,or on the baric if space.does not 1.❑ Addressee's Address <br /> perrdt• 2.❑ Restricted Delivery <br /> ■Write'Return Receipt Requested'on the mailpiece below the artlde number. <br /> ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. <br /> delivered. <br /> 3 4a.Article dumber T <br /> CORRELL PROPERTIES 4b.Service Type <br /> 285 INDUSTRIAL WY ❑ Registered Certified <br /> WOODLAND CA 95776 ❑ Express Mail ❑ Insured g' <br /> ❑ Return Receipt for Merchandise ❑ COD <br /> 7.Date o f ryo r- 1-11, M <br /> y:�.:,•_ <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only if requested Y �, <br /> and fee is paid) <br /> 6.Signature:.(Addressee orrAgent)__ <br /> a. X <br /> a PS Form 3811Y,December 1994 lo2s95-96-8-0229 Domestic Return Receipt <br /> 30 id, M 4-i <br /> 0* SENDER: I also wish to receive the <br /> ■Complete hems i andlor 2 for additional services. following services(for an <br /> W ■Complete items 3,4a,and 4b. <br /> ■Print your name and address on the reverse of"form so that we can return this extra fee): <br /> card tothis 1.❑ Addressee's Address <br /> ■Attach forth to the front of the mailpiece,or on the back If space does not � e <br /> ppeeach. 2.[1 Restricted Delivery <br /> ■wMe'Return Receipt Requested'on the mailpfece below the article number. <br /> ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. TL <br /> 4a.Article Number 4 <br /> Z •/,;-8-- -7/-5— <br /> JIFFY LUBE/BROADBASE INC <br /> CL 4b.Service Type 2 <br /> C/O DON FOWLER ❑ Registered :9 Certified Ix <br /> u 3990 W YOSEMITE RD ❑ Express Mail ❑ Insured S <br /> LATHROP CA 95330 ❑ Return Receipt for Merchandise ❑ COD I <br /> 7. Date of De Ivory/7 <br /> 5.R ived :(Print Name) 8.Addressee's Address(Only if requested Y <br /> and fee is paid) <br /> t- <br /> 6.S at ress gent) <br /> X <br /> '.S PS Fo 3 ,December 1994 im5gs.98-e-0229 Domestic Return Receipt <br />
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