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t <br /> SAN JUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HL:._TH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> E FACILITYCHANGE OF OWNER DATE Of OWNER CHANGE / _J_ INACTIVE <br /> Prior OwnerDELER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE /�1-- <br /> OWNER FILE <br /> OWNER ID <br /> CASE # BILLING PARTY0 4k / N <br /> OWNER HOME PHONE C ) <br /> OWNER NAME <br /> OWNER YAK/BUS PH ( ) <br /> OWNER DBA <br /> ADDRESS <br /> STATE Nf ZIP <br /> CITY <br /> NAILING ADDRESS <br /> CARE OF O/flA 't�1 <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> BILLING PARTY Y / <br /> gip( FACILITY ID At <br /> x OF EMPLOYEES <br /> TRUST LANDS? Y / M <br /> FACILITY NAME <br /> HOME PH ( ) <br /> FACILITY ADDRESS <br /> BUSH PH ( ) <br /> CROSS STREET <br /> CITY STATE ZIP <br /> Census •••••_••_ BOS Dlst <br /> Locacion Code O, City Cade ._......._ <br /> APN x <br /> MAILING ADDRESS <br /> SIC CODE <br /> CARE OF <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> BUSINESS CODE BUSINESS TYPE C <br /> UST FAC STATUS CODEUSi7 <br /> THIRD PARTY WILLING INFORMATION <br /> HONE PHONE C ) <br /> NAME <br /> BUSH PHONE ( ) <br /> MAILING ADDRESS <br /> CARE OF <br /> STATE ZIP <br />