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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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GRANT LINE
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574
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3500 - Local Oversight Program
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PR0545205
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
1/27/2020 3:13:33 PM
Creation date
1/27/2020 3:02:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545205
PE
3528
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
574 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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r <br /> DEC '�..'199�- - <br /> Z 187 935 653 <br /> ' 4� <br /> us Postal <br /> l Receipt 10f Certified Mail <br /> SATMAR SING114 ETAL,w <br /> 574. W GRANT'LINE RD <br /> TRACY CA 95376 c <br /> i <br /> Postage - $ <br /> certified Fee: <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> rn <br /> ai Return Receipt Sha g <br /> r Whom&Data Delive d <br /> R Retum Receipt Showing to <br /> Date,&Addressee's Address <br /> d TOTAL Postage&Fees $ <br /> ppstmafk or Date <br /> 1UO <br /> co55 , - <br /> n- o <br /> �,��` 7_ _ I also wish to receive the <br /> 32 sco S.EN t r oral Jr cidi" nal service following services(for an <br /> 0 ■ let items ,4a,and 4b. <br /> 0o Print your name and address-on the reverse of this s (A we can return this extra f d <br /> m ,�a rd to you. <br /> ■A6 ach this form to the front of the mar ie i pa n 1. eSSe S S + <br /> ipermit. d <br /> ■Write"Return ReceiptRequested'on a ice e a e er. 2. ❑ RestrictedDellVery N <br /> y ■The Return Receipt Oil show to whom the article as delivered and the date p, <br /> Consult postmaster for fee. <br /> C delivered. <br /> ra <br /> G 4a.Article Number <br /> 3.Article Addressed to: I 1 ��/&' oc <br /> E 5ATA3AN SINGH ETAL 4b.Service Type <br /> 574 i+d GliANT LINE RD ❑ Registered Certified cCn <br /> Nj TRACY CA 95376 ❑ Express Mail Insured S <br /> 1 ❑ Return Receipt for Merchandise ❑ COD <br /> `o <br /> y,,.�.... __._. . _. .. _..: <br /> i 7.Date of Delivery- <br /> S.Addressee's Add (Only requested <br /> I= <br /> 5.Received By:{Pant Name) <br /> W and fee is paid) <br /> 6.Signature: ddressee.:)rAgent) <br /> a X <br /> Wmestic Return Receipt <br /> Ps f=orm 3811, December 19 <br />
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