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CO0054134
Environmental Health - Public
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4200 – Liquid Waste Program
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CO0054134
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Entry Properties
Last modified
4/22/2024 4:54:35 PM
Creation date
11/30/2022 1:36:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200 – Liquid Waste Program
RECORD_ID
CO0054134
PE
4200
STREET_NUMBER
593
STREET_NAME
FISHBACK
STREET_TYPE
WAY
City
MANTECA
Zip
95337
APN
22210017
ENTERED_DATE
8/11/2021 12:00:00 AM
SITE_LOCATION
593 FISHBACK WY
RECEIVED_DATE
8/11/2021 12:00:00 AM
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Receive Pri at of v y <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery ad I nt from ite711 <br /> Y <br /> THR CALIFORNIA LP If YES,enter iv address below: <br /> 1717 MAIN ST <br /> STE 2000 UNIT 11 <br /> DALLAS TX 75201 <br /> 8/19/2021 C00054134 AG <br /> II I�III�I I'I I(I II I II III III I II I II I I I Service Type ❑Priority Mail Express® <br /> El <br /> ❑Adult Signature ❑Registered MaiITM <br /> uIt Signature Restricted Delivery ❑Registered Mail Restricted- <br /> 9590 9402 5616 9274 2245 78 8 ❑Certified <br /> Mail® Delivery <br /> ertified Mall Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery O Signature ConfirmatlonT <br /> Mail ❑Signature Confirmation <br /> 7 019 1640 0001 5361 8 219 00�i1 Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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