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SITE INFORMATION AND CORRESPONDENCE_FILE 2
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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455
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3500 - Local Oversight Program
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PR0545202
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SITE INFORMATION AND CORRESPONDENCE_FILE 2
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Last modified
1/27/2020 10:07:21 AM
Creation date
1/27/2020 9:23:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 2
RECORD_ID
PR0545202
PE
3528
FACILITY_ID
FA0003124
FACILITY_NAME
7-ELEVEN INC. STORE #20304
STREET_NUMBER
455
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
455 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SENDER: <br /> 1 ■Complete items f and/or 2 for additional services, I also wish to receive the { " <br /> .Complete items a,aa,and ab• following services(for an <br /> ■Print your name and address on the reverse <br /> card tof this form so/flat we can return this extra fee): <br /> t : i o you <br /> �r ,} ter ti ■Attach this form to the front of the mallPiece,or on the back R space does not 1.❑ Addressee's Address <br /> ■Write-Return Racelpt Requested'on the mailph"below the article number. 2.❑ Restricted Delivery ym E <br /> ■The Return Receipt will show 10 whom the art6cle was delivered and the date N <br /> .Aridelivered. Consult postmaster for fee. YL a <br /> 0 3.Artcle Addressed to: 4a.Article Number a+' <br /> 1U I Ir <br /> i <br /> Gi!1 Cy C'. Chr'eS�2n 4b.Service Type <br /> t_ <br /> c°, loez(/y) 'qve . ❑ Registered Certified <br /> ❑ Express Mail ❑ Insured 01' <br /> . <br /> ❑ Return Receipt for Merchandise ❑ COD 3 <br /> 7.Date of Delivery o <br /> o ' <br /> 5.Received By:(Print Name) " `` <br /> 8.Addressee's Address-rOntyif nested <br /> and fee is paid) c <br /> U.Signa u e:(AddrBssee'o F, <br /> 2 PS Form 381 I,'-december 1994 102595-98-13-0229 Domestic Retum Receipt <br /> ri <br /> :i <br /> - , <br /> i, <br /> 9 <br /> r""'r 1 we�-��'-�� �'.'..4'w f=IN" w'w-�--_._v... r_ ^'MEa "r"^'� _ f!`.. - +rx :_sx�4•`�+�-r.a .."_+w"�r� ytYribe -*y��.�.s.: n---.�.��. w�rtfYw�Ye � - .. <br /> I� <br /> i6 <br /> " .II <br /> T J <br /> - - - - <br />
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