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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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MELLON
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3500 - Local Oversight Program
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PR0545546
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
3/16/2020 9:31:36 PM
Creation date
3/16/2020 4:21:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545546
PE
3528
FACILITY_ID
FA0003691
FACILITY_NAME
MBM, Manteca
STREET_NUMBER
800
STREET_NAME
MELLON
STREET_TYPE
AVE
City
MANTECA
Zip
95337
CURRENT_STATUS
02
SITE_LOCATION
800 MELLON AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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Z 128 782 577 <br /> US Postal S<ice <br /> Receipt ior Certifi Mail — <br /> BOB SINGH <br /> CARLS JR DISTRIBUTION CENTER <br /> P 0 BOX 4349 <br /> ANAHEIM CA 92803-4349 <br /> ANKU 1% ,q <br /> � .. <br /> Postage <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> Q <br /> Return Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O <br /> 0 TOTAL Postage&Fees <br /> C") Postmark or Date <br /> E <br /> 0 <br /> ILL <br /> 07 <br /> a <br /> SElol ` I also wish to receive the <br /> Z ■Complete items 1 and/or 2 for ad 'ional services. <br /> ■Complete items 3,4a,and 4b, <br /> following services(for an <br /> d ■Print your name and address on th ev e f r n r th' extra fee): <br /> card to you. <br /> ■Attach this form to the front of the ail o t s 1, c2 <br /> y permit. ❑ 1 eelSS <br /> ■ 9 lag <br /> Write"Return Receipt Requested"on the mailpiec bel e I number. 2•❑ Restricfed Delivery N <br /> t ■The Return Receipt will show to whom the article was liv the date <br /> + delivered. Consult postmaster for fee. a <br /> 0 3.Article Addressed to: 4a. Article Numb <br /> BOB SINGH <br /> c <br /> j CARLS JR DISTRIBUTION CENTER4b.Service Type � <br /> P 0 BOX 4349 <br /> El Registered Certifiedcc <br /> ❑ Express Mail Insured <br /> ANAHEIi CA 92803-4349 ❑ Return Receipt for Merchandise <br /> COD <br /> .-,Date <br /> t <br /> :"Date of Delivery `o <br /> 10)1 w <br /> 0 <br /> 5. Received By: (Print Name) 8,Addressee'sA ress(Only if requested Y <br /> and f�is paid <br /> 6.Si nature: (Ad or <br /> o t) <br /> X ` <br /> �' PS Form 811,December 4 102595-98-B-0229 Dorn tic Return Receipt <br />
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