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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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G
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GRANT LINE
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575
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2900 - Site Mitigation Program
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PR0542420
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
1/23/2020 9:31:51 AM
Creation date
1/23/2020 9:24:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0542420
PE
2960
FACILITY_ID
FA0024376
FACILITY_NAME
FORMER CHEVRON 98632
STREET_NUMBER
575
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
575 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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I <br /> P 298 999 88D1; 8cc�� <br /> r'Cey1A'aii� `s <br /> No Insurance Coverage Provided <br /> - Do not use for International Mail <br /> •o=.. (See Reverse) - <br /> sem to B L HUNTER <br /> P 0 BOX 5004 <br /> P 0 , State and ZIP Code <br /> SAN RAMON CA 94583 — <br /> Postage %804 <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing <br /> Got to Whom & Dale Delivered <br /> _ Return Receipt Shoving to Whom, f' <br /> Lade, and Addressee's Address <br /> 71 TOTAL Postage <br /> o & Fees $ 2 . 2 <br /> 0 Postmark or Dale <br /> CW) <br /> E <br /> 0 <br /> to <br /> " !olNDER : I alsr `sh to receive the <br /> to • Complete Items 1 an ! for additional services. �/�� fOIOWiny ..erVieeS . �for ag�]c/t�� a V - <br /> HComplete Items 3, d _ . ass b, fee): e�1 l <br /> • Print younameend address on the reverse of this form so that we can <br /> `w return this card to you. � , El Addressee's Address y <br /> • Attach this form to the front of the mailplece, or on the back If space <br /> as <br /> does not permit. 6 <br /> Y • Write "Return Receipt Requested" on the mailplece below the article number. 2 ❑ Restricted Delivery •7 <br /> • The Return Receipt will show to whom the article was delivered and the date G <br /> C delivered. Consult postmaster for fee. S <br /> i 3. Article Addressed to: 4a. Article Number e <br /> E a B L HUNTER P 298 999 81 $ 9 <br /> o $ 4b. Service Type 2 - <br /> E CHEVRON ❑ Registered ❑ Insured <br /> col P 0 BOX 5004O1 <br /> X7 ❑ COD <br /> Certified 5 <br /> w SAN RAMON CA 94583 - 0804 ❑ Express Mail ❑ Return Receipt for m <br /> Merchandise w <br /> 7. Date of Delivery <br /> p o <br /> a I <br /> 5. Signature (Addressee) 8. Ade's Address (Only if requested C <br /> cc and Is paid) m <br /> E ~ ~ <br /> U 6. Signature (Ag t) CX <br /> > PS Form 3811 , Decemtwor 1991 dU.S. GPO: 1332-3234M DOMESTIC RETURN RECEIPT <br /> y <br />
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