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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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HOLLY
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2421
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3500 - Local Oversight Program
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PR0545285
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/3/2020 12:47:00 PM
Creation date
2/3/2020 11:46:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545285
PE
3528
FACILITY_ID
FA0006068
FACILITY_NAME
PALADIN MILEAGE CENTER
STREET_NUMBER
2421
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95376
CURRENT_STATUS
02
SITE_LOCATION
2421 HOLLY DR
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Z 187 935 921 <br /> us Postal S�rmm _ <br /> Rece pt for Certified-9'a il <br /> JOHN GEMELOS <br /> 456 E HOLLYWOOD <br /> TRACY CA 95376 <br /> JUN - 9 1999 <br /> uerned Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> q Return Receipt Showing to Whom, <br /> pa Date,&Addressee's Address <br /> S TOTAL_Postage&Fees $ <br /> Postmark or Date <br /> 0 <br /> I1 <br /> M s <br /> • to items t and/or 2 for I also wish to receive the <br /> ■Complete items 3.4a,and 4h fof�r SeNIOB�JA( n <br /> ■P�your oyuoruname and address the th can return this ext e: _ a7 {�7J <br /> ■Attach this Corm to the front of the mallpiece,or on It space does not 1.❑ Addressee's Address <br /> nnit. <br /> 0ite"Return Rataelpr Requested'on the mallpieoe below the article number. 2•❑ Restricted Delivery <br /> ■The Return Receipt will show to whom the article was delivered and the date <br /> delivered. Consult postmaster for fee, a <br /> 4a.ArticI Number <br /> JOHN GEMELOS .�9?/ <br /> 456 E HOLLYWOOD 4b.Service Type <br /> TRACY CA 95376 ❑ Registered Certified <br /> a <br /> a ❑ Express Mail Insured c <br /> u4 Return Reoeiptfor Merchandise ❑ COD <br /> GP 7.D of Delivery <br /> 5.Received By: (Print Name) ' ee's Address(Only if requested m <br /> �- � paid) i� <br /> 6.Signature:(Addressee orAQenj J <br /> X - / '�JJ <br /> PS Form 3811,December 1994 D mestic Return Receipt <br />
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