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S• JOAQUIN LOCAL HEALTH DISTRICT <br /> MASTER FILE RECORD <br /> DATE <br /> NEW � <br /> CHANGE -r2j �dJR <br /> DELETE _ <br /> DISTRICT _ COMPUTER NO. <br /> /� QL � JL 6t �L 2 IHC. CITY <br /> DBA hl�ho✓Y 1&20-r �n <br /> i <br /> PREMISE <br /> ADDRESS Z2L2 ` I BUSINESS <br /> ail PHONE <br /> BILLING NAME <br /> & ADDRESS <br /> OWNER NAME <br /> & ADDRESS <br /> FEE. INFORMATION FEE BASE <br /> FEE EXEMPT <br /> OTHER PROGRAM <br /> ACTIVITIES <br /> PREVIOUS COMPUTER NO. <br /> PREVIOUS DBA <br /> EFFECTIVE DATE (If different) : SANITARIAN <br /> COM14PTS:. <br /> � CHECKED BY <br /> ACCOUNT CLERK C-k- <br /> FILE CLERK <br /> EH 00 15 REV11/83 <br /> 1/84 500 <br />