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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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1160
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2900 - Site Mitigation Program
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PR0517411
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/27/2020 2:07:35 PM
Creation date
7/27/2020 10:54:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0517411
PE
2950
FACILITY_ID
FA0013411
FACILITY_NAME
PAYLESS SHOE STORE
STREET_NUMBER
1160
Direction
W
STREET_NAME
YOSEMITE
City
MANTECA
Zip
95337
APN
21902033
CURRENT_STATUS
01
SITE_LOCATION
1160 W YOSEMITE
P_LOCATION
04
QC Status
Approved
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EHD - Public
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I.S. <br /> CERTIFIED MA'ILT. RECEIPTco a <br /> (DomesticOnly; <br /> M <br /> OFFICIA-L US. E . .7 <br /> aU- Postage $ e <br /> Certified Fee a,. 1A' <br /> C3.. ' Postreierk <br /> Q Return Recelpt Fee Here <br /> 0 ,(Endorsement Required) s <br /> Restricted De leery Fee <br /> C3 <br /> = Endorsement Required) <br /> 0"'nj Total Postage r <br /> ik <br /> SHELL:OIL PRODUCTS - <br /> ser+r To3 DEN.IS L.BROWN <br /> orreel,dpr ivo. '20945 S:WILMINGTON AVE. <br /> 17�- or f sox No. 039 p <br /> J cny crate,ZIF4: , _., <br /> , CARSON,CA 90810-1 <br /> g RE: 1160 W.-YOSEMITE e <br /> :11 F <br /> Complete Items 1,2,and 3. <br /> item 4 N Resh`icAlso aotrrp[ete A. Signature <br /> ■ Print your name and�adVYr odesjd verse X <br /> so that we can return the card to you. 13 Agent <br /> ■ Attach this card to the back of the malipi y l printed Nam O Addressee <br /> or on the front Received <br /> ff space permits, � ��. C. bate of Delrvery <br /> ArtidCAddressed to: <br /> VO,Yes de^tf"drrf7teir3 i? <br /> if YES,en er � v��dd erfa�� ❑'No <br /> SHELL OIL PR <br /> oDUCTs ��R ENT <br /> DENIS L. BROWN ; <br /> 20945 S. WILMINGTON . <br /> AVE.. <br /> CARSON,CA 90810_1039 Certified MafiV 4 <br /> Mail <br /> ❑Registered <br /> b RBtum Recent forMerchandise <br /> -. ❑ <br /> InsuredMail <br /> 2. Artfele Number 4. Restricted Delivery?(Extm Fee) <br /> r7ransferfrom servlce.labsD t.:t ;7[1],1 2 9 7.0 0 3 0 3 913 3 0181 13 Yes <br /> PS Form 3$1 1,February 2004 <br /> DOmestic Return Receipt <br /> 102595-02,M-IMO <br />
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