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XEV. 84/09/99 <br /> SAN JOAQUIN COUNT PUBLIC HEALTH SERVICES 8 ENVIRONIVIE;A HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION <br /> DATE OWNER ID 9 CASE Y <br /> OWNER FILE a-7 <br /> CHECKIF OWNER CURRENTLY ON fIEF WITH EHD ❑ <br /> COMPLETE THE FOLLOWING BUSINESS OWNER INFORMATION: <br /> BUSINESS OWNER NAME Sacramento Valley Limited PHONE <br /> Partnership (916) 357-1000 <br /> ,rsr asr <br /> BUSINESS NAME(X DIFFERENT from&JkTa"Name) <br /> <br /> OWNER HOME ADDRESS <br /> 255 Parkshore Drive <br /> city 255 <br /> STATE <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Hazardous Materials Specialist <br /> Approved By Oote Accounring Orrice Processing Compleled By Date / <br />