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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545741
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/8/2020 12:41:45 PM
Creation date
6/8/2020 12:30:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545741
PE
3528
FACILITY_ID
FA0006284
FACILITY_NAME
YAMADA BROS INC
STREET_NUMBER
15406
Direction
S
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
18917007
CURRENT_STATUS
02
SITE_LOCATION
15406 S TRACY BLVD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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•ENDER: (p � �� - �� <br /> Complete deme 1 or�idr a a nal ae e - 'ltglSO t0 feCerve the <br /> a •complete items 3,4a,and 4b. 4-j following services(for an <br /> » •Prim your nem end ddmo op the reverse of this form w that we can return this extra fee): <br /> d card to you. �' �� <br /> • <br /> Attach this b the d+ellpisoe,or on the back if space does not 1. ❑ Addressee's Address <br /> permit. d <br /> •Write 97efum Receipt Requested'on the mallpitim below the article number. 2. ❑ Restricted Delivery N <br /> •The Return Receipt will show to whom the article was delivered and the date ii <br /> delConsult postmaster for fee. <br /> ivered. <br /> .o <br /> m 3.� Article Addresse to: 4a.Article Number IM <br /> s i�Lz la S q �3 <br /> n 4b.Service Type -' <br /> m BOB YAKADA ❑ Registered ACertified rn <br /> M1 <br /> � Y DA BROS ❑ Express Mail ❑ Insured .c <br /> � <br /> m 154 6 ru S TRACY BLVD ❑ Return Recaptfor Merchandise ❑ COD <br /> a STOCKTON CA 95206 7.Data of Delivery <br /> f _ 2 7-OCA <br /> N <br /> 5.Received By: (Print Name) B.Addressee's Address(Only Nrequested a <br /> and fee is paid) <br /> 6.Signal : (Address Agent) <br /> o X <br /> PS Form 3811, Decem r 1994 =595-97-a-0179 Domestic Return Receipt <br />
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