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SAN JOAQUIN .TY PUBLIC HEALTH SERVICES - ENVIRONMENTAL I H DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> NEN FACILITY CHANGE OF OWNER DATE Of OWNER CHANGE / / INACTIVE <br /> Prior Owner j <br /> UNDER CONSTRUCTION CHANGE OF BILLING ✓ DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OWNER ID r�OI-� CASE t! BILLING PARTY Y / N <br /> OWNER NAME OWNER HOME PHONE ( ) <br /> OWNER DBA 06NER NRK/BUS PH ( ) <br /> ADDRESS <br /> CITY STATE ZIP <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> s FACILITY ID X BILLING PARTY Y / N <br /> p # OF EMPLOYEES <br /> FACILITY NAME TRUST LANDS? Y / N <br /> FACILITY ADDRESS 3 HOME PH ( )- <br /> CROSS STREET BUSH PH <br /> CITY � C/V�CYC STATE ZIP 90 <br /> Census --------- 30S Dist O Location Code , City Code - -------- <br /> MAILING ADDRESS 4 ✓U `�� APN <br /> CARE OF (.tll Iil/W �� L�llJv SIC CODE <br /> CITY ��Jl� STATE ZIP "f`T -7 <br /> GENERAL TYPE of 3USINESS at this FACILITY <br /> UST FAC STATUS CODE j BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY 3[LLING !NFORMATICN <br /> NAME �ll V tl��` �l/�LLL� HCME PHONE ( ) <br /> MAILING ADDRESS "I �`Iu BUSN PHONE <br /> CARE OF <br /> CITY c �/Iv� STATE C ZIP 8�4 <br />