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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> MASTER FILE RECORD <br /> DATE _ - a''7 <br /> NEW <br /> CHANGE <br /> DELETE <br /> DISTRICT COMPUTER NO. w 8L £ n^� S T sl INC. CITY <br /> DBA F <br /> PREMISE <br /> ADDRESS S/(� � �� �a �� _ BUSINESS <br /> PHONE <br /> BILLING NAME <br /> & ADDRESS <br /> OWNER NAME <br /> & ADDRESS <br /> FEE INFORMATION FEE BASE FEE EXEMPT <br /> OTHER PROGRAM <br /> ACTIVITIES <br /> PREVIOUS COMPUTER NO. <br /> PREVIOUS DSA <br /> EFFECTIVE DATE (If different): SANITARIAN <br /> COPUIENTS: <br /> TcnnKs r r� ,'3ty-J a CHECKED BY <br /> NBn+�YCi�s� <br /> ' $/(07 �ilscc i�n�s Ldgo ZoS ACCOUNT CLERK <br /> FILE CLERK <br /> EH 00 15 REV11/83 11/84 500 <br />