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_ ENVIRONMENTALOT DIVISION" <br /> SAN JOAQUA�TY PUBLIC HEALTH SERVICES ENVZRONME*NT <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 8/26/93 <br /> NEW FACILITY <br /> l< _ CHANGE OF OWNER DATE OF OWNER CHANGE / / INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION <br /> CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> CASE # BILLING PARTY N <br /> __JOWNER ID Q�/ <br /> OWNER HOME PHONE <br /> OWNER NAME <br /> ruC\/Dfl�l DTDF I TNF rnMPANY ( ) - <br /> OWNER WRR/BUS PH ( 510 ) 842 -6877 <br /> OWNER DBA <br /> OWNER ADDRESS 4000 EXECUTIVE PARKWAY, SUITE 400 <br /> 94583 D <br /> OWNER CITY <br /> SAN RAMON STATE CA ZIP aF <br /> MAILING ADDRESS SAME AUG 14 1996 <br /> CARE OF MS. KATIE HOWER ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> CITY <br /> SAME STATE ZIP <br /> r <br /> OIL COMPANY <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> BILLING PARTY Y / <br /> # OF EMPLOYEES <br /> FACILITY NAME <br /> RENOWN PROPERTY _ TRUST LANDS? Y / N <br /> FACILZTY ADDRESS <br /> 990 BEECHNUT AVENUE HOME PH <br /> CROSS STREET FOREST HILLS DRIVE BUSN PH <br /> CITY TRACY CA <br /> sTATE ZIP `' <br /> BOS Dist Location Code City Code ----------- <br /> Census --------- <br /> APN# 234-070-02 <br /> MAILING ADDRESS <br /> SIC CODE <br /> CARE OF <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> HOME PHONE <br /> NAME <br /> BUSN PHONE ( ) - <br /> MAILING ADDRESS <br /> CARE OF <br /> a STATE ZIP <br /> CITY <br />