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SAN JOAQUIN &Y PUBLIC HEALTH SERVICES - ENVIRONMENTAL ON DIVISION <br /> / MASTERFILE RECORD INFORMATION FORM EH 01 15 (CWNFAC) Revis 5/14/93 <br /> NSW FACILITY ✓ CHANGE OF OWNER DATE OF OWNER CHANGE / /_ INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANCE OF BILLING DATE OF BILLING CHANGE / /_ DELETE <br /> `� OWNER FILE <br /> OWNER ID � I n CASE # BILLING PARTY Y / <br /> _ <br /> OWNER NAME �� 'tea-.�D� OWNER HOME PHONE ((//�/�� ) <br /> OWNER 08A OWNER WRK/BUS PH (k I <br /> ADDRESS n�-D /LI/J_C7/�� p���9 4 <br /> CITY -/7A'�GdO Y�N(XXV STATE ZIP J ZZ3�o <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY S�TnnATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS Li.t�IA.yAo <br /> FACILId FILE <br /> FACILITY ID # BILLING PARTY Y / <br /> # OF EMPLOYEES <br /> FACILITY NAME _ ,,,, {- TRUST LANDS? Y / N <br /> FACILITY ADDRESS `7 FO /l.P/YXA yy `5C,Q_ _ HOME PH ( ) <br /> CROSS STREET '' ^^ BUSH PH ( ) <br /> CITY �CL�(J'( dYL- STATE ZIP <br /> CensusI --------- BOS Dist Location Code City Code ---•------ <br /> MAILING ADDRESS APM # <br /> CARE OF SIC CODE <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 INFORMAT <br /> I <br /> ON <br /> NAME VLI� �r/IC`JQ.11.(WUA,(' L �.N VVLQ/l Y1lL Ax4L� _ HOME PHONE �y� �7 <br /> NAILING ADDRESS IZ r JI eenn,, BUSN PHONE ( w7 ) FJC'7 - L <br /> CARE OF <br /> CITY //l/ U-• STATE ZIP ��YO <br />