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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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THORNTON
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26056
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2900 - Site Mitigation Program
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PR0545730
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
4/14/2021 12:56:54 PM
Creation date
4/14/2021 12:42:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545730
PE
2957
FACILITY_ID
FA0005194
FACILITY_NAME
DONNA GARDNER
STREET_NUMBER
26056
STREET_NAME
THORNTON
STREET_TYPE
RD
City
THORNTON
Zip
95686
APN
00115046
CURRENT_STATUS
02
SITE_LOCATION
26056 THORNTON RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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V <br />I also wish to receive the <br />following services lor <br />extra fe4UL I 3 199C,z <br />NDER: <br />Complete items 1 and/or 2 fo <br />Complete Items 3, 4a, and 4 <br />Print your name and addres <br />card to you. <br />Attach this form to the front of the mailpiece, or bac if spa <br />permit. <br />Write "Return Receipt Requested" on the mailpiece below the <br />The Return Receipt will show to whom the article was delivere <br />delivered. <br />can return this <br />E Addressee's Address <br />El Restricted Delivery <br />Consult postmaster for fee. <br />Article Number <br />g?- 7357 DONNA GARDNER <br />SART INI DM <br />1206 W STRUCK <br />ORANGE CA 92667 <br />li(prtified <br />Insured <br />Service Type <br />Registered <br />EJ Express Mail <br />Return Receipt for Merchandise L COD <br />Date of Delivery <br />5. Received By: (Print Name) <br />- I <br />Addressee's Address (Only if requested <br />and fee is paid) }I Thank you for using Return Receipt Service. 102595-98-6-0229 Domestic Return Receipt <br />cC. 6. Sig (Addressee <br />`5 <br />>.. <br />2 PS Form 3811, December 1 94
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