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JOAQUIN LOCAL HEALTH DISTRIL� <br /> MASTER FILE RECORD <br /> DATE <br /> NEW <br /> CHANGE <br /> DELETE,m <br /> DISTRICT C0I4PUTER N0. L02g_ 12 <br /> � � j INC. CITY <br /> DBA _ F�ceaSit ✓�C P <br /> PREMISE J <br /> ADDRESS Z2 BUSINESS <br /> �l tin PHONE <br /> BILLING NAME <br /> & ADDRESS <br /> OWNER NAME <br /> & ADDRESS <br /> FEE INFO <br /> RMATION �p� (om �P rvy� <br /> FE BASE FEE EXEMPT <br /> OTHER PROGRAM <br /> ACTIVITIES <br /> PREVIOUS COMPUTER NO. <br /> PREVIOUS DBA <br /> EFFECTIVE DATE (If different); SANITARIAN <br /> COM94ENTS: <br /> 6� ��11�1 D712I`cC�1� CHECK Y <br /> ACCOUNT CLERK Qv- <br /> FILE <br /> -FILE CLERK <br /> ."N 00 15 REV11/83 C\�— / 11/84 500 <br />