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SO JOAQUIN LOCAL HEALTH DISTRICO <br /> MASTER FILE RECORD <br /> DATE /y A7 <br /> 'NEW <br /> L <br /> CHANGE <br /> DELETE <br /> DISTRICT �y C014PUTER N0. _ _ INC. CITY <br /> DBA �� Sly �ll�%//1L�TtD�1 %f�/T1Cf <br /> PREMISE <br /> ADDRESS /7670 /t/�`lC f� ; �jZpYl PHONE E"Zdf <br /> BILLING NAME <br /> & ADDRESS <br /> OWNER NAMESG6 �1v2 �G///2D wTLGp! ,� }/f1i4Cl <br /> & ADDRESS I/4// � '�/�l . <br /> FEE INFORMATION FEE BASE FEE EXEMPT <br /> OTHER PROGRAM <br /> ACTIVITIES <br /> PREVIOUS COMPUTER NO. <br /> PREVIOUS DBA <br /> EFFECTIVE DATE (If different): SANITARIAN <br /> COP14ENTSS��,C G` CHECKED BY <br /> ACCOUNT CLERK <br /> /Zo/ �/zq FILE CLERK <br /> EH 00 15 REV11/83 11/84 500 <br />