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SAN JOAQUIN COO= PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 8/26/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE / /_ INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / /_ DELETE <br /> OWNER FILE <br /> OWNER ID CASE # BILLING PARTY Y / <br /> OWNER NAME L b6CU �k^bMS I C c OWNER HOME PHONE (� ) <br /> T— <br /> OWNER DHA <br /> OWNER WRK/BUS PH ( 4101 ) 7d'+ 3�I5 <br /> OWNER ADDRESS <br /> OWNER CITY \,L e O STATE N ZIP Li <br /> MAILING ADDRESS \ <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE ,,�� <br /> FACILITY IO # /J( �/�• BILLING PARTY .l �� z� / N <br /> � # OF EMPLOYEES `'1 <br /> FACILITY NAME ^C S�"� S RT5 "", TRUST LANDS? Y / N <br /> FACILITY ADDRESS �� Lo u� - HOME PH ( 1 <br /> CROSS STREET BUSN PH (�) OS O - to ZO L <br /> CITY LC'� 1 lti�4J C� STATE �`� ZIP <br /> Census ,, BOS Disc Location Code City Code ----------- <br /> MAILING ADDRESS �S a���'e APN # 19 t _ L�0- (p L <br /> CARE OF �O� SIC CODE 3-751) <br /> CITY STATE ZIP t <br /> GENERAL TYPE of BUSINESS at this FACILITY \(L9" V^0\`Av- C +- <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME H014E PHONE <br /> MAILING ADDRESS BUSN PHONE <br /> CARE OF <br />