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11/02/99 TUE 10:47 FAX 209 249 2210 MANTECA LOANS 19004/005 <br /> M <br /> 16/26/1999 15:04 20953050 GEOL0G1U%L TF_CHN,.1S PAGE 02/03 <br /> GREEN FORM <br /> DATE 1 0-26-1 99'9 MASTER FILE RECORD INFORMATION "MFR" <br /> �,ra..Ne�r UNIT IV <br /> OWNER FILE <br /> 9RPt,EreryaFoLLo&WMCPROPER7YOVOIE..RWFORMA7WN: CMEOKIFOWNERUrtAK�TLYONMlMTMEHD ' <br /> PRdMRW PNONE <br /> pwNER NArE Jerr _ DeGroot 209-471 -1787 <br /> rra til a '1 <br /> BUVINae Nesta �1- �O i(/ 0 Snc sr�I7aY ioa ! _ <br /> C. DeGroot & SOR6 q I _ IV <br /> OMrm <br /> mr Hoe Addmr m DRIVER'S LICENSE IF <br /> ratsRion s*KTE CA rip 95366-2258 <br /> q <br /> o...r wulsa AtYWu l0 1�- �J �..C) <br /> Maiglp Address City (Z: P r\ state CA Zip � S 3 6 b • -2-SK <br /> CIXIPORATDN 1NOtnDUAL A6ENEY a,1iER <br /> FACRITY PILE <br /> OcATPtEmmr-FOLLOWING BUSINESS/ FACILITY/SITE INFONMancN: <br /> Is ;I%a N6W ttWinaaa LOCAnm not preml--aIv regulated tly the Etrvta WEWALHsALTH DMMON 9 Yss D No q <br /> 'a Etts m eximNa EtWeIzsa LoOATION but a Nm T%fPE d regulated 600lims 7 Vc6 [] No/'� <br /> '4'NNeea/FA,Y4mlg(ra NANe _.� Q �Q. �^� o}- �Vls <br /> 347E ADDRESS $In TER Duman PNmW4 <br /> 14253 gRuth Airport Way (APN#198-03-4) -- Zoq -`I /- - n9 i <br /> cryanteca g'^TE CA Z'e 95336 <br /> 3- dltll '4 '�al <br /> '.��eallClG�?aw, I Rml Ih I I <br /> MRHing Addreaa dOIFFER@Nrltvm Aao11{PAddress Attertiion: at Cera Of(Ootl*fti) <br /> MoHing Addr 2O0y STAR tlr <br /> TNIM01PARTY61LUNGINFO; ComPlateifBillingParty tedhTarentfromProperty Owner oPFaaiiityOperator ldenlfBedabove, <br /> HUSINESSNAKE Attwtlan: orCam Of (OpUvaso <br /> Mallidg Addreaa PHONe <br /> Cm STATE ZIP <br /> ,acaotnarAooResB forfeei and ohatgea OWNER FAMLITYIBUSMU WIRD PART7611.UNG <br /> +T .r..tllar.�rtr� �ilaart i aawrsa <br /> 8•L;.:HC A.18a CDNnuNee�A�SSo.wTr>.:.nUatErtr f,the aaderrt(eed ApplEcaot,urtlfy that l am me Orvrtd,DPO'a�r a Aa7Mor$�Apen of ins amtsrs,asd t.ryaaTdedpe mat elf <br /> ,^j4r2/rFaa;Pm,Hb7aGf,Y,uurL�.rClGArBS..d/Pr RWRTrAdlWat agRaatd tdfy rW apeTAdonv.al be bHbd m tle pt qw addrm idrndllyd above u We L/ayVNrADna�s <br /> ter W's Yes I alw artily tbat All lakrmatlon Pte OM.e th-h appilagoa h has and mance mad thal 0 rgWmed"yWa wgl be perfetmed bt A=Tdam With alt apPGaablc SAN <br /> onPJ.a^tNImT <br /> OcdlnaRce Codes"or Bhtodalds and STATS.Rdlar FtOWL La"and Readagoaa Aa the andesigor4 aveper,oPe».wt,a AE41!sf tIH grePt'hY laatea at gx <br /> ^^-N(YNU elan I eeaeby aMerbe On rYuac of.Mr and.n t 03 Sad mvImmmal augemrnt t0ondadan to SAN aoAQUR(COXYM ENVIRONMEKrAL <br /> .`:a.AL2I{DIVISAON d rove as a b erwaMe and at Ua Nala dna a e ptevlded to me a mY reprttlaWlWa <br /> KCAU PRINT <br /> APPLICANTNAME C. DeGroot & Sons StGNATkIRE <br /> TITLEpartner DRIVER'6LICEN8ER <br /> (P/IDTDde PV aRe NR4T1_ <br /> q � WoaH NdGEt& 6551—SZ-81 <br />