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SAN JOAQUIN TY PUBLIC HEALTH SERVICES - ENVIRONMENTAL I _ IN 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 f / DELETE <br /> OWNER FILE <br /> OWNER ID �d �}j� CASE # BILLING PARTY N <br /> OWNER NAME 1J� - OWNER HOME PHONE <br /> OWNER DBA OWNER WRK/BUS PH <br /> OWNER ADDRESS D 1 Y VI 56D <br /> OWNER CITY STATE ZIP <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> �/' r tai ZQa1 � <br /> FACILITY FILE <br /> FACILITY ID # 'i BILLING PARTY <br /> FACILITY NAME ' <br /> TRUST LANDS? Y / N <br /> IL <br /> FACILITY ADDRESS l V i '-�t'v I Y L`� L4v)c HOME PH ( ) <br /> CROSS STREET �°� BUSH PHLZI <br /> ( } <br /> CITY STATE L 1 ZI P <br /> Census ---- BOS Dist Location Code City Code ---------- <br /> MAILING ADDRESS APN # <br /> CARE OF SIC CODE <br />!� CITY STATE ZIP <br />;I GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME HOME PHONE ( } . <br /> MAILING ADDRESS BUSH PHONE ( ) <br /> CARE OF <br /> CITY STATE ZIP <br />