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SAN JOAQUIN C t PUBLIC HEALTH SERVICES - ENVIRONMENTAL HE DIVISION <br /> MASTERFILE RECORD INFORMATION FORD EH 01 15 (CWNFAC) Revis 5/14/93 <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 / -7 `1_ CASE # BILLING PARTY Y / N <br /> OWNER NAME OWNER HOME PHONE C ) <br /> OWNER OBA OWNER WRIC/BUS PH (WL) fez - �(oD <br /> ADDRESS la01 <br /> (/ <br /> CITY A& STATE ZIP e 7 <br /> MAILING ADDRESS <br /> CARE OF / /U.ISyL /V(A SCJ✓ <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID 1 S / BILLING PARTY Y / <br /> OF EMPLOYEES <br /> FACILITY NAME <br /> C �Imo,ptl„►',�-- I��t TRUST LANDS? Y / N <br /> FACILITY ADORESS ( �J�'` ' �C� HOME PH ( ) <br /> CROSS STREET BUSH PH C ) <br /> CITY _--c=' (�IIl\l STATE �_ ZIP <br /> Census SOS Dist ©1 Location Code © City Code ---------- <br /> MAILING ADDRESS APN 4 <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 (LIST) <br /> THIRD PARTY 3ILLING INFORMATION <br /> NAME HCME PHONE ( ) <br /> MAILING ADDRESS BUSH PHONE < ) <br /> CARE OF <br /> CITY STATE ZIP <br />