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06/08/2004 10:34 FAX 209 9480621 Z002 <br /> 06/08/04TUE 10:22 FAX o9203 4327 The DeSilva Group! 200 <br /> ..,. _,.,._ ....-..., �...a � 121002 <br /> San Joaquin County Environmental Health Department <br /> DATE ' y 6 MASTER FILE RECORD IKFoRMATI01a "MFR" GREEN FOIHM <br /> 'ED+arl�aDaD <br /> OWNER FILE <br /> C[.E7F o1rr�JrG OPE OWNER m9dfy a"jp OWNER L o"nvw+NGf wrM 410 <br /> Frml'mn Dana¢.N.na Cillo �Pr u'o vvl. PonsaQ— <br /> f N1 /oaf <br /> nIw9M�s Nabf <br /> SDeSR11 Yurp# <br /> Oh+nernnnn:AdafLt �/�7 <br /> All (J, <br /> 0 �A puvrJt�e uauae e <br /> G" 4 <br /> Owns namrq m� � moi`�_ <br /> Mamnp Addre¢Cky '� („`� <br /> 34Yf IJP <br /> CRRnM.IfDM❑ 71fP1¢Irnur rWnMlR911P❑ <br /> IRO AaDMGY❑ ptl11,R�• <br /> FACILITY FILE <br /> IT.FMOITir TD4 •FnmaRW tDa[ avaiwNiDY ,,. YMva <br /> Is this a NEW ElDan=L.ocn not wevinuft regulated by the fwdmdnf bff•AR Hmnl DE-PARTMEMR ras El ero ❑ <br /> XS V5 do CX15TV4G RUki�1LCATfON but a NEW TYPE of rmulanad Itualncm7 vu ❑ Nn O <br /> aumfeaf/IuetRtr/smww¢ <br /> SMADDRM y?a2 /V {�y7�ll ¢0 JlrfimlpgJ'MnNd <br /> Bdnp or5unw.zaR Drarnfer Leecnaw•CaeF Keri Kef2 <br /> nrn111PH Adtln:aC ifJNLFGtld7VlGoar Far�a//n4fiar �Y^� Attanton:s Cafe Of/rpahe¢Q <br /> Marlin Addr Oty - <br /> [harA av <br /> SLC CDDE APN al <br /> T"M PAIITT b1LLINR LNFo/p Cnmp(ete rl b1111ng Party ds ditrerentrmm Property owpbr nrFadlity Opera[nr Jdentri&faGoue, <br /> eusw�NanE a :5 1V--L ('04-;DIJA C Alm.aomaoROIawif W) <br /> /r� � Be6 5p?/trq <br /> M..4np aldra pV D OHDME 9 as L d•p — /f�9 <br /> c� Ou 6 SM71 ZIP <br /> lbr fees and charaw dwlme F.rclu"JouRDmsa TWRe PAa1T BILLING <br /> aru rrn.Nv rnrn�...m...�p�-serunnr• Jr fy.urNwalRu.dw 1Wn <br /> MP 4 4+fifY d,rr 1 nm LLc Owa�r,ppr.ayry er A.rbrkd.rpour of mb DurWuy rbd I.clmyyaac W.c sU rOnm'F2cy <br /> PCNecrrn;P.NFDrtPgdNrQlYpR aAyer7lPD¢[rQueyy dr.o;.bd rleh mi.yy..aan.af pa►y.q bmr a/lheadar,yr Nepddod RDsroume for fh4 d�lLr�Dfl UN1 <br /> wH in(am.tlon brv�ldrd.R rLh.Dpieivae b we.d varM;and dyt au.vlwrN.atlWdea wtl ba pafo.am;.u�Nm�Eby nll appHPa Ran JParfam CRurrr Ordlm¢re Com.aPfw <br /> "v.nawd.anabTa'RandforP¢DOe..,I,.w.aad wgobu.�,, ,.,.fbr unacnlgad cwnrrraW*tr.ar aewKaf rhpPM ore Jom�.e rDr ahnrP 1 A 'wh~bnrnlO .r <br /> any and as rra¢ar.m v.i.+.nracvlaJ atWnawr 1¢tarmaam ro SAN fo�f,T111N CpIfJ\"fy 13AYIriONM¢NrAL HEAi.78 D6PMT ar if w, v of rae swm dmc Ir 4 <br /> +�p+�4.1 w mo or rhn• �d� �l <br /> aPPfSCANf NAME SMONATURE <br /> f/lCE }�AIZ--'�JtD�-Af7 <br /> w.arom.r RlotlifuPl <br /> API✓..dav Hak acoananP DDlne fhvur�nf�nPl.¢mry _ <br /> Dnb <br /> 29-03-e63 ADN 1s,]DfU <br /> 06/08/2004 TUE 10:25 LTX/RX NO 38011 A1002 <br />