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07/30/2007 16 17 FAX <br />lj� 002 <br />,lu""" vv, <br />San Joaquin County Environmental Health Department <br />DATE <br />ESO <br />Si0A1GAa..::tnR,H� r,ar <br />LEa <br />0-7 MASTER FILE RECORD YNFORMAIUON "MFR" GREEN FORM <br />Ar, r OwMca ma CAse ll - UNIT I V <br />OWNER FILId <br />ERTY QWNEP, aMmAUg& Cwcxrr OWNER CIAovnwtrcwFAswrwEHD <br />PROPMY OWNlR FiAm, <br />PNoNR <br />I <br />firs( M/ Lail <br />IW6INE st41AME <br />SOCS�C{TMFjag'A <br />OwaaNOln4Adrlrass > 14 IQ <br />l <br />Datrm'sl�N9E,a <br />it <br />SIAM -'-9 <br />L <br />Owner MINPlap Adihn <br />NaN1egAddrass Ry <br />Lin> <br />zip q 583 <br />[aRAOAATioM <br />LIMMVAL d rAR,naR�u ❑p <br />PeoAawcr❑ <br />orwea <br />FACILITY FILLS <br />R►CI(m To p <br />CJto68 REF z01R ACCOUIT SD li <br />IRV* <br />bs ft a New Sw iness LocmoN not orelrlousbY regulated by the ENYIROWMTAL HEALTn DEPARTMENT? YEs C7 No ❑ <br />bs this an Eolisrnws Buelneas LoCATtoN but d N>Iw jYPe of Mulatad Businsss7 Yes ❑ No ❑ <br />BUaO U$jFAMUYjSMNAt+E 75 <br />- _ <br />SCMADORassr"1j W. r`� (^v- Main,_ <br />9hlT�a 9ua*+H7PNONe <br />Corr $?ATe / - alr 15T _ <br />BO+i4oarStFi0.vtttoipR cr LZTMNCOOE <br />Ra1Rng Addre9s A' O &Wfnwr Aadrr>r AttaNtlorr. or (are Of (0PbWNW <br />Malting Ahddmss G y <br />SYAtt Lir <br />cops, APR A II .cooklmt: <br />a moi. r r r war—nra �+rrc <br />THIRD PARTY 81 Lune Inco; CtlnTjll(eIE aF Bllling Party a- dlfrengnt fMM property Owfser orFacft Operator fdwettled &bow, <br />llvswAa NdMe AttaRLlOR: or Cale Of roptAw ll 1' 1 ' 1 n N!J <br />c � u- _ V d _F-1 <br />Ma1UnpAddrmrti }� O D�_f f <br />crry - c rn >YAITc CA Zip R5 da'1 <br />=UVZ laz 6= for f"S and charger OWNER <br />(;ACalTY18LE:AlE88 THIROPARTY 13ILLINO <br />nn r rrx: errR -fit,;,, =al•rrnwl.Tnr. U=; I, rho Nndoltirylal Appllealu, ccHifT Ihdl l Rm Iltc pRWPr, UrMr'arAr, a AwLorlCcsr �fpvlr of dIA lludA,Id I acbnowled j4 IMI till PROFM'FM, <br />/�6NN.7TE3, Nr'rf0/ICjllrjrmG�N♦tGilt <br />6,Iftj-tt0Ur/F0IAiR'Ja a7/Wilisj N1/1l this opcm1 qp will be billed 1* me *1 dwo4d RES U-1111cd abow of die dr—MITAM-Pee rpr ILO sik, l 0sa crrlify lhal <br />Nil InArinodau P rlda. on Ildi dpplkouon it Mar and carred; ARd IhM 411 ttgillated del:v;l;ti mil be performed IR aoee W tinct *III, ■N s1lakA4N SAN JOAQtaR (,0LW0y ()Fdinence qgda MWAW <br />Sldndordl obd STAIT and/w FkMIu1,14m Rod McU11160 ra. As did nllderai)Nlod wimr, almmeor, or 04MI of Ike rr per(y 16CMw1 tit [I'd dbuim II>'/sho Ns kms, l bar ll Nlo r of <br />Alli' intiAll IroiAlli MMI DANIM4nMnh1 as -MI -14M 1RforMilloll to SATs JOAQIIIN (:OtIN'1'Y FNV1R6NATKNTAL 119AIN11 DRFARThi10r soon ds it li $-a r,rd oaRIMO II i1 1S <br />lrovwtd le the ar illy R I1rHCW11itY, <br />_ 1\ A <br />AP9LICANTNAMIB .�}/�(A ^�` e _ SIGNA711RE <br />TITLE Tj ` <br />DRIVF-ids LStEDL4Eit <br />fpmo-TOtorr REMMED) <br />untmg Ofboi piaocml. .. uAnplelad �v. .. _..6Wu -- .. ... <br />29x7-002 Alwii:3.2Ju3 <br />