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REV94569
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REV94569
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Entry Properties
Last modified
8/25/2016 3:19:57 AM
Creation date
11/21/2007 11:41:30 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979189
IBM Index Class Name
Revision
Doc Date
7/16/1998
Doc Name
TR FOR PERMIT M-79-189 S-4
From
HART ENVIRONMENTAL
To
DMG
Type & Sequence
TR1
Media Type
D
Archive
No
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<br />SENDER: ~ I also wlsh to receive the <br />• Complete hems 1 and/dr 2 for additional services. following eerVlCeS (fbf an <br />• Complete items 3. 4a. antl ab <br />• Prim vour name and address on the reverse of Ihis form so Inai we can retum this <br />extra fee): <br />card tp you. <br />• Attach Ihis form 10Ihe IrOnt of ih0 meilpiece, or On the back it space tloes ndl <br />1 . ^ Addressee's AddfeSS d <br />~ <br />•Wn a t'Relurn Receipt Requesretl'on roe maeprece below me ankle number. 2. ^ Restrcted Delivery N <br />• The Return Receipt will show to venom the ankle was tlelrveretl antl the tlate <br />Consult postmaster for fee <br />c <br />delrvereo . <br />5. <br />6. <br />~ T <br /> <br />P. a. Bear <br />~~ ~ <br />2z~ r~ <br />~'a Sonz j <br />PS Fora 3811, December 1994 <br />4a. Article Number <br />/~'Y9$ a <br />4b. Service Type <br />^ Registered <br />^ Express Marl <br />^ Return RecerytfcrMerchantlise <br />8. Addressee's A.dS1r~s (OnIJ <br />and !6' is pard)' ~~ ~ r <br />'~.~ ! <br />~ " ,_~~. . <br />~r~~.~,. <br />102595-9B-B-0229 f)/1rr1P.S}In QA <br />~Cendietl ~ <br />^ Insured O1 <br />^ COD '" <br />s <br />0 <br />requested Y <br />c <br />H <br />rn Receipt <br />w SENDER: I also wish to receive the <br />V <br />~ • Complete Hems 1 and/or 21or additional senkes' 1oIlOWing Services (fof an <br /> <br />d . Complete items 3. 4a. antl ab <br />• Print your name and address on ma reverse of Ihis torte so Thal we can tewm this <br />extra lee): <br /> <br />d card to you. <br />• Anach this farm to Oe Iron; of the manpiece, or on the pack J space <br />tloes not <br />1. ^ Addressee's Address u <br /> permit. <br />• Wnle 'Relum Receipt Repuesletl'on Ne meilpiece below the ankle number. 2. ^ Restricted Dellve <br />ry m <br />to <br />~ <br />M • The Reurn Receipt will show to whom the amcle was and <br />tlelrveretl. ~Fl` the date Consult postmaster for fee. $ <br />0 3. Article Addressed to: a. Article Number <br />d c y 8 8 <br />a ~ <br />/i/'! Y~~f .7 ~ <br />Ab Service T e <br />YP <br />2 <br />Eo N ao Registered Certified <br />v <br />~, <br />yss A~tedaL~ <br />Express Mail <br />Insured p, <br />~ <br /> ~ <br />~~`_8 V.1j <br />~~~'~ <br />CD ~ ^ Return Rece~ptfry Merchandise ^ COD ~ <br /> ~ 7. Date of Delve <br /> 0 <br />T <br />~ 6. Signa~re. dressee or er <br />X 1. <br />T <br />!' PS Form 3$11, December 1994 <br />8. Addressee's Atldress /Only /1 requested x <br />and lee is paid) ~ <br />L <br />f <br />102595-9B-e-0229 Domestic Return Receipt <br />d SENDER: 1 also wish to receive the <br />V <br />'in .Complete ilemstane/or2 foratltlNOnal serotces. <br />• Complete items 3, 4e. and 4b. 10110WIn SBNICes (Oran <br />g ( <br />m • Pnnt your name and address on the reverse of this form so that we tan return this extra fee): <br /> <br />4+ card to you <br />• Attach this form to the Iront of the meilpiece, or on the back d space tloes not <br />1. ^ AddreeSeE'S Addreaa <br />~ perma <br />• Wnte 'Rehm Receipt Requesretl'on the meilpiece below the article number. 2. ^ Restricted Dellve <br />ry <br />~ • The Relum Receipt will show to whom the article was tlelrveretl and the eats <br />e <br />h <br />e COfIBUt <br />postmaster for lee <br /> . <br />e <br />vere . <br />0 3. Article Addressed to: 4a. Articl Number <br /> . ~~ ~ a <br />~ <br />a ~~~/~ ~~) 4b. Service Type <br />o <br />u <br />~~ ~~u~~~ <br />~ ^ Registered enilied <br />y K. ^ Express Mail Ensured <br />^ <br />Q <br />7 / <br />C <br />~~~ ^ Retum Receipt for Merchandise ^ COD <br />~ ~ <br />, <br />C <br />/ V v 7 <br />D <br />te <br />f D <br />li <br />, . <br />a <br />o <br />very <br />e <br /> <br />~ 3. Received By: (Print Name) 8. Addressee's Address (Only rl requested <br /> and lee is paid) <br />6. Ignat re: (Addre/ssee °r genre <br />> ~LZ alb <br />L^ P rm 38i i, December f +o2s95-98-an229 Domestic Return <br />ai <br />Z <br />N <br />a <br />u <br />m <br />E <br />m <br />m <br />8 <br />Y <br />N <br />L <br />f <br />
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