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CO0047361 (2)
Environmental Health - Public
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4300 - Water Well Program
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CO0047361 (2)
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Entry Properties
Last modified
8/28/2024 5:00:02 PM
Creation date
4/14/2021 2:06:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4300 - Water Well Program
RECORD_ID
CO0047361
PE
4300
STREET_NUMBER
8500
Direction
N
STREET_NAME
WAVERLY
City
LINDEN
Zip
95231
APN
09345001
ENTERED_DATE
9/5/2018 12:00:00 AM
SITE_LOCATION
8500 N WAVERLY
RECEIVED_DATE
9/5/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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COMPLETV THIS SECTION • • ON • <br /> ■ Complete items„1,.2,-and 3, - ,T Z. �n <br /> ❑Agent <br /> ■ Print your name and address on the reverse 11 Addressee <br /> so that we can ret4rn the card.to you. <br /> ■ Attach this card to the back of the mailpiece, B ceived ate of Delivery <br /> or on the front if space permits. �t <br /> 1. Article Addressed to: LY Is delivery ad n er or►) 1? ❑Yes <br /> If YES,enter d¢� e y ad r�s 6 Ic 6 ❑ No <br /> PETER]. GARIBALDI ENVIRONMENTAL IIE.ALTII <br /> P.C; BOX 41 DI;P:�RI'�1EN'I <br /> -'U i f ER CREEK, CA 95685 <br /> II I I I' IIII 'I I I II I I I II I III I I I II III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mai1TM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 3741 7335 6416 79 ❑Certified Mail® Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 13 Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> ?01? 2400 0000 6058 410 5 ❑Insured Mail Restricted Delivery Restricted Delivery <br />_ (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ; <br />
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