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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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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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g als wish to receive the <br /> 9 • mplete items 1 and/or 2 fCth <br /> F <br /> s. to ing services(for an <br /> '� b •Complete items 3,4e,and 4 <br /> •Print your name and addreshis n return this extra fee):���u ►/ a <br /> C card to you. t,❑ ArtlF86lee 3 Ad r, <br /> •At ach Nis form to the front ailpion Dec space doe not tkh <br /> m nnit. 2.❑ Restricted Delivery <br /> Y •Write'Return Recelpf Requestetl'on the mailpiece below t �c <br /> « •The Return Receipt will show to whom the article was deli re to Consult postmaster for fee. <br /> delivered. <br /> 0 4a.Artic/le er /7/ <br /> ELDON C MIDDLETON �L - •��f c <br /> g <br /> 4b.Service Type <br /> FISH & CASTLE CO <br /> 0 530 W GRANT LINE RD ❑ Registered Certified <br /> on <br /> TRACY CA 95376 <br /> El Express Mail G Insured <br /> ❑ ReturnReceipt for Merchandise ❑ COD 03 <br /> 7.Date of Delivery ,Q <br /> 0 <br /> 0 <br /> 5.Received By: (Print Name) 8.Addressee's Address(Only if requested m <br /> and fee is paid) <br /> 6.Signature:(Addressee or Agent) <br /> X <br /> PS Form 3811,December 1994 <br /> 1o2595-se-a-ous Domestic Return Receipt <br />
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