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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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ELEVENTH
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3500 - Local Oversight Program
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PR0544792
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
11/19/2024 10:19:51 AM
Creation date
9/3/2019 11:50:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544792
PE
3528
FACILITY_ID
FA0004849
FACILITY_NAME
BILLS BAIT & BEACON GAS
STREET_NUMBER
515
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
515 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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P 590 424 55662 <br /> US Postal Ser r � <br /> Receipt for ertified Mail _ <br /> RAMESH & BALWANT BIRLA <br /> 1288 W ELEVENTH ST <br /> TRACY CA 95376 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> LO <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> n Return Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O TOTAL Postage&Fees Is <br /> 00 <br /> Cl) Postma or Date //7111- <br /> �6 <br /> U) <br /> r1 <br /> 1. SEN --� also wish to receive the <br /> a ■Co a items 1 and/or 2 for additional services. following ices(for an <br /> H ■Complel a items 3,4a,and 4b. JIM <br /> f�ifith ■Print your name and address on the reverse of this form at c n return thisy <br /> U <br /> card to ycu. if s 1. ❑ Addressee's Address <br /> ■Attach this form to the front of the mailpiec ,o 4) <br /> 4) <br /> permit. <br /> .permitWrite . <br /> Receipt Requested'on the mail ce a ow th article mbar. 2. ❑ Restricted Delivery Q <br /> Y ■The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. y <br /> c delivered. <br /> 0 4 rticle Number <br /> 3.Article Addressed to: cc <br /> 10 <br /> RAMESH & BALWANT BIRLA ' <br /> a 4b.Service Type m <br /> 0 1288 W ELEVENTH ST ❑ Registered Certified M <br /> cn TRACY CA 953760 Express Mail Insured N <br /> w ❑ Return Receipt for Merchandise ❑ COD <br /> 0 <br /> 0 7.Date of Delivery A.-- c <br /> ¢ a <br /> Z. <br /> S.Addressee' dd ass(O y if req ested <br /> 5. eared By: (Print Nam and fee is a d <br /> w <br /> 6.Signa`: (Addressee or Agent) , <br /> T X / <br /> N Domestic Return Receipt <br /> PS Form 3811, December 1994 <br />
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