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(+1`J (\/�J') ,gam II <br /> SAN JOAQUIN`y�NTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL FIESLTH DIVISION� O• �t l4t4/ <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 OwnerER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OWNER ID OnG"7� CASE # BILLING PARTY Y / N <br /> OWNER NAMEL.L / ?IA-bi <br /> O OWNER HOME PHONE ( ) <br /> OWNER DBA OWNER WRK/BUS PH ( ) <br /> OWNER ADDRESS <br /> OWNER CITY �l V lil STATE ZIP <br /> MAILING ADDRESS PAYMENT <br /> pFCFlVFD <br /> CARE OF �-I,A'N G�f?-{'E'F'r � Nh G� �N � t`1�•--2. JUN 11995 1J <br /> CITY STATE ZIP SAN JOAQUIN MINTY <br /> PUBLIC HEALTH SERVICES <br /> BUSINESS CODE NATURE OF OWNER BUSINESS ENVIRONMENTAL HEALTH DIVISION <br /> FACILITY FILE <br /> FACILITY ID # e)06 BILLING PARTY Y / N <br /> p OF EMPLOYEES <br /> e^AGILITY NAME <br /> � TRUST LANDS? Y / N <br /> FACILITY ADDRESS gS I (f/U.C..I�/..f{ O'Q-� HOME PH ( ) <br /> E <br /> CROSS STREET <br /> I BUSN PH <br /> II CITY STATE ZIP -IJ.2-0.2� <br /> Census --------- BOS Dist OST Location Code City Code ----------- <br /> MAILING ADDRESS G_— APN # <br /> CARE OF <br /> SIC CODE f1 <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST1 <br /> THIRD PARTY BILLING INFORMATION <br /> NAME HOME PHONE ( ) <br /> MAILING ADDRESS BVSN PHONE <br /> 3 <br /> CARE OF <br /> CITY <br /> STATE ZIP <br /> f ✓i <br />