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4454 - Kennel Program
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PR0400054
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Last modified
7/21/2020 9:08:48 AM
Creation date
7/21/2020 9:07:12 AM
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Template:
EHD - Public
File Section
COMPLIANCE INFO
RECORD_ID
PR0400054
PE
4454
STREET_NUMBER
0
QC Status
Pending
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■ Complete items 1,IM 3.Also complete 7A. ig ureitem 4 if Restricted ery is desired. Agent <br /> ■ Print ame and address on the reverse Add see <br /> so t=14 @tu� card to you. B. R y,1 Printed Name) C D <br /> ■ Attach this card to fhe b ck o h e, Gor on the front if space permiit <br /> D. Is del e ? 13Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> JAN 2 3 2009 <br /> Chuck Kelley,Stormwater Inspections ENVIRONMENT HEALTH <br /> SJC Public Works <br /> 1010 E. Hazelton Ave. 3. Se�Ype <br /> Stockton, CA 95201 <br /> WMertifled Mail E3 Express Mail <br /> ❑Registered ❑Return Receipt for Merchandise <br /> 3464 E.Cherokee Rd—J.F. ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2, Article Number 7006 3450 0003 7438 7504 <br /> (rransfer from service - <br /> PS Form 3811,February 2004 Domestic kbturn Receipt 102595-02-M-1540 <br />
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