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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545191
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
1/23/2020 11:26:27 AM
Creation date
1/23/2020 11:01:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545191
PE
3528
FACILITY_ID
FA0005301
FACILITY_NAME
JERRY & BARBARAS DEMOLITION
STREET_NUMBER
10
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
10 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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postal <br /> CERTIFIED MAIL RECEIPT provided) <br /> Cr (Domestic Mail Only;No insurance Coverage <br /> Er <br /> rrI7R-turnReceipt <br /> $ru postmarkm Here <br /> r (Endorsement Required) <br /> ru <br /> Restricted Delivery Fee <br /> l� (Endorsement Required) <br /> . . <br /> ED Total Postage B`- <br /> [Rec:i-pients' Nam pKUL VEE% <br /> Cl ---------- <br /> MCITy <br /> ,Apt.WI ci-;c 520 ��LVD§fafe,ZlP+4 •jgACY CA 95376 <br /> I <br /> A. Received by(Please Print Clearly) B. Date of Delivery <br /> ■ Complete items 1,2,and 3.Also complete <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address o the reverse ' �; Signature � /} \ <br /> so that wefpLett�1�ea you. pLSi� El Agent <br /> ■ Attach this ZZrrarrddTo''tt a ac of the mailpiece, KIsD. <br /> � ❑Addressee <br /> or on the front if space permits. ❑Yes <br /> delivery address different from'dem 1. <br /> Article Addressed to: If YES,enter delivery address below: ❑ NO <br /> PAUL VERMA <br /> Ksee5CITY OF TRACY TRestricted <br /> 20 TRACY BLVD Mail ❑ Express Mail <br /> ed ❑Return Receipt for Merchandise <br /> TRACY CA 95376 Mail ❑C.O.D. <br /> Delivery?(Fara Fee) ❑Yes <br /> 2. Article Number(Copy from service label) t <br /> D <br /> PS�Fgrm 3811,) 1999 <br /> Domestic Return Receipt 102595-00-M-0952 <br /> 6 UJ <br />
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