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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> NEW FACILITY fig_ CHANGE OF OWNER No DATE OF OWNER CHANGE / / INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION NA CHANGE OF BILLING DATE OF BILLING CHANGE ! / DELETE <br /> OWNER FILE <br /> OWNER ID �/" r . CASE # BILLING PARTY Q / N <br /> ==j <br /> Wm. C. Anderson OWNER NOME PHONE (209 )931-1191 <br /> OWNER NAME <br /> OWNER DBA Same as above OWNER WRK/BUS PH C20 )931-1-191 <br /> 21018 E. Comstock Rd. na. 331 <br /> ADDRESS c���_7 I qj <br /> Linden, CA 95236V <br /> CITY <br /> STATE ZIP <br /> MAILING ADDRESS P.O. Box 695 Linden, CA. 95236 <br /> Same as above U L 2 !99.3 <br /> CARE OF <br /> ENVIRONME: ' ALHFALTH <br /> CITY STATE ZIP PERMIT i SERVICES <br /> BUSINESS CODE Ag NATURE OF OWNER BUSINESS Farming <br /> FACILITY FILE <br /> FACILITY ID # F BILLING PARTY Of / N <br /> # OF EMPLOYEES UK <br /> FACILITY NAME Same as above TRUST LANDS? Y / C <br /> FACILITY ADDRESS 21108 E. Comstock Rd. HOME PH ( 209 <br /> CROSS STREET Wall Rd. BUSN PH ( 209 )931-1191 <br /> Linden, CA 95236 <br /> CITY STATE ZIP <br /> Census --------- SOS Dist Location Code 99 <br /> City Code ----------- <br /> Wm. C. Anderson <br /> MAILING ADDRESS APN # <br /> CARE OF P.O.Box 695 SIC CODE <br /> Linden, CA 95236 <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 /> NA <br /> NAME HOME PHONE ( ) <br /> MAILING ADDRESS BUSN PHONE ( ) <br /> CARE OF <br /> CITY � STATE 2IP �� / <br />