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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES -; ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EN 01 15 (OWNFAC) Revis 8/26/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWER CHANGE / / INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILL3NG CHANGE /_- / DELETE <br /> OWNER FILE <br /> OWNER ID BILLING PARTY Y / <br /> OWNER NAME Qnri �(Lr. JG�r1 _�L_ OMER HOME PHONE <br /> OWNER DBA u- )O v� <br /> OWNER IIRIVBUS PH <br /> OWNER ADDRESS L4 O <br /> OWNER CITY 5 k-tl CkL-, STATE GA I ZIP <br /> MAILING ADDRESS 61)vv-(- <br /> CARE OF I ►� (�[off' <br /> CITY STATE ZIP <br /> Bee- SS CODE- NATURE OF OWNER BUSINESS C, 1 <br /> FACILITY FILE <br /> E <br /> LITY ID # 477.-p, BILLING PARTY Y / <br /> # OF EMPLOYEES <br /> FACILITY NAME TRUST LANDS? Y /0 <br /> FACILITY ADDRESS i VV ��[ tt'lJ` Lt..ti.-2 HOME PH <br /> 1 _ <br /> CROSS STREET lL ' S BUSN PH ( y <br /> �r I <br /> CITY (.OGLt STATE ZIP 5 2 q Z <br /> i <br /> Census --------- SOS Dist Location;Code City Code --------- <br /> MAILING ADDRESS APN # _ <br /> „ .. <br /> 166 <br /> CARE OF ~ U 0 J <br /> 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 /> i <br /> THIRD PARTY BILLINIG INFORMATION_ <br /> NAME 80 S`I�✓� CJI c-.+ .T In HOME PHONE ( ) <br /> MAILING ADDRESS i`/Il L)3 vt+rur V3 ���� �o t�111t `CC>�b BUSH PHONE <br /> CARE OF A 14Nl Ll� 1 l r rte} <br /> v / � G <br /> . CITYY �� �kitn_ <br /> STATE W 2tPaQp+�� <br /> -- <br />