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SAN JOAQU—"OUNTY PUBLIC HEALTH SERVICES - ENVIRONMEM' ;IEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EN 04 15 {OWNFAC) Revis 8/2 <br /> ~ NEW FACILITY CHANGE OF OWNER DATE OF MWER CHANGE _J_�_____._/ INACTIVE <br /> Prior Owner , <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / DELETE <br /> OWNER FILE <br /> OWNER to CASE-0 BItlING PARTY Y / N <br /> OWNER NAME Lodi Unified School District OWNER HOME PHONE (____)N/A - <br /> OWNER DBA N/A OMER NRK/BUS PH (209 ) 331 - 7225 <br /> OWNER ADDRESS 1305 E. Vine Street <br /> OWNER CITY Lodi STATE CA ZIP, 95240 n <br /> MAILING ADDRESS 1305 E. Vine Street <br /> CARE OF John Vatsul a, Facility Planning �v fvo <br /> CITY Lodi STATE CA ZIP 95240 <br /> BUSINESS CODE NATURE OF OWNER BUSINESS K-12 Education <br /> FACILITY FILE <br /> FACILITY ID # BILLING PARTY Y / N <br /> # OF EMPLOYEES . N/A, <br /> FACILITY NAME Transportation Facility TRUST LANDS? Y / N <br /> FACILITY ADDRESS 820 S. C1 uff HOME PH ( ) NIA � <br /> CROSS STREET Vine Street BUsN PN ( 209 ) 331 - <br /> CITY Lodi STATE CA ZIP 95240 <br /> Census -.---.--- BOS Dist Location Code City Cody ---------- <br /> MAILING ADDRESS 1305 E. Vine Street APN # 049-070-54-3 <br /> CARE OF John Vatsul a, Facility Planning Sic CODE 4151 <br /> CITY Lodi STATE CA ZIP 95240 <br /> GENERAL TYPE of BUSINESS at this FACILITY Transporl 5 JUdents <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRQ PARTY. BILLING INFORMATION / <br /> NAME Lodi Unified School District HOME PHONE ( ) N/A - <br /> MAILING ADDRESS 1305 E. Vine Street Bush PHONE t 209 ) 331 - 7169 <br /> CARE OF John Vatsula, Facility Planning <br /> CITY Lodi STATE CA zip 95240 <br />