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04/06/2006 13:14 12099805 PAPE FC PAGE 04/05 <br /> 04/05/2006 17:00 4649138 , ENVIRONMENTAL HEALTH PAGE 02 <br /> Dta=rwt 445(2005 4:47:47PM SAN JOAQUIN COUNTY EriVT RQ1XMIs NTA L HEALTH DEPA RTP4ENT Repm fw!l <br /> Rum DY �1 <br /> Facility Information as of 41512006 <br /> Ptndard Se*W n Ctttatta: Pero rb RA0010782 _ <br /> INi+tce c yangwcarrecou"in RED ink or;wrcli. <br /> INFORPAA71ON CHANGE(date) <br /> OWNERSHIP CHANGE(date) <br /> OWNER FILE INFORMATION � <br /> Owner ID OW0008782 Case Number. H08734• New Owner ID _— <br /> O+vsier Name <br /> pruner DBA >,�� a r —� <br /> Owne�'Addss �5 reS EL DORADO S T <br /> Cy <br /> FRENCH CAMP,CA 952319-, <br /> Horne Phone Not Specified "�''0 <br /> WorkMusinaw Phone „ � t.� •Z �[ ";'� ; 7 ----__-_ <br /> Melting Address 35g9ReEeAR1KV'D <br /> Caro of <br /> FACILITY FILE iNFORMATiON �✓ ,.1(� .` ��.� <br /> 'adllty ID F'A00107 82 �D <br /> Fac,W Name ElAf IRE-l!WtWEM <br /> Locawn MM 5 ELDORADO ST r'� Qi� ?t 5-- — <br /> FRENCH CAMP,CA 9523197550 Q / <br /> Phone 209963-8122 — <br /> Mailing Adffr6w 38600 QAP,BLVD41'�7✓ : �E -- <br /> Care of �„rfli&'MA ATEVM y�1 — <br /> Lom ion Code 99-UNMORPORATED AREA <br /> SOS Diatiiot 001 -OI TTIERREZ, STEVE � SIC C:odF:9900 <br /> -1 <br /> ACCOUNTS RIE-CEIVABLE FILE INFORMATI0N <br /> ;4=nt 1D AR0017782 Mail Invoices"0: ovonar i Padilty ! rbc vrQ <br /> mall lmroicesto FarlityOft <br /> r (c vI <br /> Axount No" . <br /> A,(Xount Salance as of 4f512006: $224.00 F y-,J a`.� � �w�a.� '' tG�ow <br /> �fw to ACO� <br /> New CAW W? D94ft <br /> Reno 7 W cMP tD end N.rne 9iafue _ <br /> Prt�rrn+Elecner+;anQ l��rl�1 �y�V A i Q <br /> 2.20-SM NW GEN t5 TQNSrYR PR051441S EF:QW 70-MMIAPPA NAi�i Ae!we V A I D <br /> MAT SJC OES Inw;ive Y <br /> 2,24-HAZ MAT BUSINESS PLAN AUTHORIZA701P 105130'0 9=1:R�()D01)9"}� Y N A I r} <br /> 2i'.44-PACT TRAN�iFEFZ RECORD-o1=S PR0520488 EF-OODWC*-HAZ MAT SJO OES Ina fvt^ Y N A I D <br /> 2$99-ONIFIED PROGRAM FAC STATE SURCHAR�PRO510782 agimoD000"HAS MAT SJC O>rS tna�rvh <br /> cr sgert aF name,9*M.+"9e mel ell see,andbr Rmi�6p8t PN6/EWD pointy' atl�aasodF'; �m Id <br /> 9B_LING Wd FGMpUANC:6 ACKNOWLE0G13wENT: tM„tsenrmgn�d owner.aflerala tFn+t eD operations•Ai be pettamwo M acmrdm v�4n ell aPPMaCIe Or�++sce CCdes and�a$ton t6,eda find <br /> toolm or maHwty WA be bAbo to the Farb klenmtoe na CJVUI t2F2 mi tht�tarn.t ttkd a!RtM <br /> 6th mrdror�etleral Ls t5. <br /> j �E 6p <br /> APPLICAN'T'S SIGN'ATUiE: <br /> Anoint Poid _ Date <br /> Progm n Recovd-to be 1 RA SFE D. I `$20,00= Amount Paid_ tate <br /> 1itJ8Rer System Eo W TRAM PER '$3T2,(1p=�� <br /> Number ReceNlld by <br /> Paym"t Type Date�� r Account aak ._.--�--- Gn4e+ L.- <br /> REHS�: <br /> COMhi>?Nr5: <br /> on <br /> t�eh�9i-n�p`lenvfsivFlS{��°r-�21.� <br />