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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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2900 - Site Mitigation Program
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PR0518209
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SITE INFORMATION AND CORRESPONDENCE
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Entry Properties
Last modified
5/8/2020 2:12:14 PM
Creation date
5/8/2020 2:00:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0518209
PE
2950
FACILITY_ID
FA0013759
FACILITY_NAME
PACIFIC BELL
STREET_NUMBER
10
Direction
E
STREET_NAME
12TH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23336922
CURRENT_STATUS
02
SITE_LOCATION
10 E 12TH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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COMPLETE THis sECT'ON ON DELIVERY <br /> SENDER: <br /> SECTION <br /> . <br /> A. Received by(Please Print Clearfy) S. Date of Delivery <br /> ■ Complete items 1,2,and 3.Also complete <br /> item 4 if Restricted Delivery is desired. <br /> 1- ■ print your name and address on the reverse G. Signature p Agent <br /> r- so that we ppm�tQ�n h to you. <br /> rrti j*R{�1`to'the b�the mail iece X � [3 Addressee <br /> ■ Attach this r ❑Yes <br /> a- or on the front if space permits. V j lil d <br /> D. Is delive address different from item 1. ❑No <br /> rn if YES,enter deiivery address below: k <br /> 1. Article Addressed to: <br /> v <br /> CESAR CRUZ h <br />'� 'C/o KATHERINE UALLIGAN �} 3, a ice Type r <br /> o PACIFIC BELL ii /&—C- ed Mail ❑ Express Mail <br /> ' ❑Registered [3 Return Rece1 t'for Merchandise <br /> 907 LINCOLN ROAD �r ❑ Insured Mail ❑ C.O.D. <br /> STOCKToN CA 95207 it <br /> j S 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> C] <br /> pfrom service label) <br /> 2. Article Number(Copy <br /> 10 595.06. 52' <br /> �7 112 Domestic Return Receipt <br /> PS Form 3811,July 199 `.[f <br />
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