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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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W
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WALNUT GROVE
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9015
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3500 - Local Oversight Program
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PR0545731
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/4/2020 12:08:14 PM
Creation date
6/4/2020 11:56:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545731
PE
3528
FACILITY_ID
FA0004572
FACILITY_NAME
LOPEZ, ADOR
STREET_NUMBER
9015
Direction
W
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00114040
CURRENT_STATUS
02
SITE_LOCATION
9015 W WALNUT GROVE RD 11
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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ai SEN I also wish to receive the <br /> to ■complete items S and/or 2 For additionalIP <br /> „ <br /> an ■Complete items 3,4a,and 4b. foil e f(W <br /> 0 ■print your name and address on the revf 1 1 UU <br /> dcard to you. <br /> ■Attach this Farm to the front of the Mal 1pit d e 1. ❑ Addressee's Address <br /> ,gym, permit. <br /> m •Write'Rarum Aeceipt Requested,on the mailptece below the article number. 2. 1:1 Restricted Delivery y <br /> t.� ■The Return Receipt will show to whom the article was delivered and the date <br /> G delivered. Consult postmaster for fee. a. <br /> o v , <br /> 3.Article Addressed to: rti Numbe <br /> m - c <br /> CL J DRAFT 4b.Service Type d <br /> E RONS CORRAL ❑ Registered Certified { <br /> ” 8315 AP.xoYa t SAY ru <br /> STOC UUN CA 95209 ❑ Express Mail C1 Insured 0: U-, <br /> ❑ Return Receipt for Merchandise ❑ COD <br />°a 7.Date of Delivery °1 Ln <br /> dX o rU <br /> i Y 1' <br /> 5.Received By: (Print Name) S.Addressee's d ess(Only if requested C <br /> and fee is d) <br /> I. 6.Signature: (Addressee orrAAgeeylnp) <br /> Ps Form 3811, December 1994 Domestic Return Receipt <br />
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