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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1465
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1600 - Food Program
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PR0521123
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COMPLIANCE INFO
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Entry Properties
Last modified
7/30/2019 3:50:37 PM
Creation date
7/30/2019 3:48:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0521123
PE
1919
FACILITY_ID
FA0000955
FACILITY_NAME
CARLS JR RESTAURANT
STREET_NUMBER
1465
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20019006
CURRENT_STATUS
01
SITE_LOCATION
1465 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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�DER: COMPLE7E THIS SECTION COMPLEM THIS SECTION ON DELIVERY <br /> ■ C eta'' ffi 3A. Sign re X Agent <br /> deyour a res n the reverse `that'yv , t ca to you. ❑Addressee <br /> ■ A#tach ttUS,card to the back of the mailpiece, .. ' eivey�by(Punted Name) Cat ;f Del ery <br /> or do the front if space permits. , /Iv/ 1)- d <br /> 1. Article Addressed to: D. Is delivery address diffe t from item 1? JO Yes <br /> If YES,enter delivery address below: ❑ No <br /> C THIA JACOBO <br /> kt CARLS JR RESTAURANT AIN <br /> 899 CHERRY AVE �Y <br /> SAN BRUNO, CA 94066 "-'VV/R04 ice Type ❑Priority Mail Express® <br /> II I IIIIII IIII III II II I II I III II I I III III I IIS' s Mail- <br /> INA ft e Restricted Delivery ❑Registered Mail Restricted <br /> ry <br /> 9590 9401 0058 5071 065? 9 4 0 Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 10 Collect on Delivery Restricted Delivery 0 Signature Confirmation- <br /> E3 Insured Mail ❑Signature Confirmation <br />_ 7 015 0640 0 0 0 7 112 2 6969 C]Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,April 2015 PSN,7,53� 112 � 'q(py SoDomestic Return Receipt <br />
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