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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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420
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2900 - Site Mitigation Program
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PR0537485
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
7/27/2020 4:37:12 PM
Creation date
7/27/2020 2:42:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0537485
PE
2957
FACILITY_ID
FA0021568
FACILITY_NAME
FORMER RAINWATER CAR WASH
STREET_NUMBER
420
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21931206
CURRENT_STATUS
01
SITE_LOCATION
420 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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I , <br /> c• CI also wish to receive the <br /> a . plata items 1 and/or 2 for additio al ervice following services(for an <br /> m •Complete items 3,4a,and 4b. <br /> - m •Print your name and address qn` a rev s s;that we c returf this g � U <br /> card h you. VV 6� B�pvi[ j*js$�es ddress W <br /> W Attach this form to the from of the ilei f� d <br /> permit. <br /> .Write'Re(um Receipt Requested'on th mailpi below the is number. 2. 17 Restricted Delivery to <br /> L •The Return Receipt will show to whom the article was delivered and the dale Consult postmaster for fee. •y <br /> delivered. <br /> o _ - a.-Article Number <br /> s9i PHILLIP ELDER/JAY QADDOURAUJ , gpy���irb[ E <br /> w <br /> a RAINWATER CARWASH 41b.Service Type <br /> 0420 W YOSEMITE ❑ Registered g Certified O° <br /> y� m <br /> u �]] Insured G <br /> MANTECA CA 95337 C1 Express Mail a <br /> U, <br /> ❑ Return Receipt for Merchandise El COD c <br /> Cc 7.Date of Delivery.., <br /> 0 <br /> cc — R.Addressee' A dress(Only it requested <br /> Y <br /> r5.Received By:(Print Name) and lee is ai = <br /> w r <br /> re: (Addr t) <br /> 5 6.Sig ` <br /> PS Form 811, December 7994 <br /> omestic Return Receipt <br /> ' p 590 424 582 <br /> PHILLIP ELDER/JAY QADDOURA <br /> RAINWATER CARWASH <br /> 420 W YOSEMITE <br /> MANTECA CA 95337 <br /> JAN 21 '10 <br /> oPoslageo$ <br /> d Fee <br /> Uri <br /> l Delivery Fee <br /> ted Delivery Fee <br /> rn Recaps Showing to&Date DeliveredKsipt Showing to Whom,< Addressees AddressOL Postage&Fees $00 <br /> c9ark or Date20 /,�-o <br />
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