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SAN-OAQUIN LOCAL HEALTH DISTRICT <br /> t.4STER FILE RECORD <br /> DATE <br /> CHANGE , <br /> DELETE <br /> DISTRICT / 21 _ C014PUTER NO, d(� 5� /�d(� Q '� `�r INC. CITY <br /> DBA �C) Y SO in til rA4 Wi I50h IA/O�V CO M e 2�)L <br /> PREMISE I II I 9S1US BUSINESS <br /> ADDRESS yNy Wi l5on �o��/ h PHONE 9yy-3 37 <br /> BILLING NAME 75e r s [/ <br /> & ADDRESS 2�-Z �r 7 <br /> r <br /> OWNER NAME eJ <br /> S S2� <br /> & ADDRESS <br /> FEE INFORMATION FEE BASE FEE EXEMPT <br /> OTHER PROGRAM <br /> ACTIVITIES <br /> PKEVIOUS COMPUTER NO. <br /> PREVIOUS DBA <br /> :_FFECTIVE DATE (If different): - <br /> SANITARIAN <br /> C06V4EN S CHECKED BY <br /> ACCOUNT CLERK 1f <br /> FILE CLERK <br /> EH 00 15 REV11/83 11/84 500 <br />