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San Joaquin County Environmental Health Department <br /> DATE 08-30-10 MASTER FILE RECORD INFORMATION "MFR" GREEN FORM <br /> ynArxaaReasroeeTlOt__Ora, oM1101IM cA UNIT IV <br /> OWNER PILI: <br /> COMPLETE TNEFOLLOMNOPROPERTY OWNER INFORmAT/ON. Cr ,F OWNER CuaaeA• YvNne EHO <br /> IMarvmPnlelNelEpaill Zumberaen,orc 714-590-8245 <br /> First Nl Lesr <br /> 8'""aeN"o Frontier Transportation Inc. 90G36cITAAID» 94-1685428 <br /> Ow HGme AddM DmvsfttC f <br /> CRY STATE m <br /> O"VAW Ada 3577 West Phildel his <br /> "�H°e� Chino 8ta10 CA 91710 <br /> CGRPa FLI Imwzp ❑ PARTrf [] FmAmeCY❑ olein❑ <br /> FAttIL1TY PLL! <br /> - FAmunlDf DRGIm REFIDR ACWUNrIDf laNf <br /> COMPLETE TNEFOLLowNG BUSINESS/FAC I LITY 1 SITE INFoRnu7roN. <br /> Is this a Nm Business LmnnoN notprevianly regWated by the EvvlRaNleex HEAI.TN DEPr.4 Yes ❑ NOV <br /> Is this m EIOsTYID Idenlnass LCCATIDN but a NEw Tr of regWated BusImm? YES ❑ W <br /> Frontier Transportation Inc. <br /> srtenuonW3 425 Larch Road BIATE» 209.836-0251 <br /> Qm Tracy 9fATECA Z1 95376 <br /> Saw UPFRYL90RDISTTXT LG[AT ODDE KM KEl2 I i <br /> Isa&v A&bvm R'DIFfV?&afomFxWA&ft" ARRnt1wR Se Crs Of(opdmW <br /> Ad*m CRY STALE zr <br /> 91CCace APNf Cowart; <br /> TIORD PARTY BILLING INFO: Complete ftBilling Party is different from Property Owner or Facility Operator identified above. <br /> a�6 - <br /> eNAE AttOnlbnWCroOf(opLmW)Ami Adini &Associates, Inc. Larry Witwer <br /> MdlBAd*ess4609 Russell Avenue Phone (323) 913-4073 <br /> a,Y Los Angeles STATE CA aP 90027 <br /> AdRnA2'AGO9Ea9 fw Nesandchages OMRFA FAcunfflusmss T)-am PAmY SiLuNC <br /> 91LLIRG Any COmcea.wee ACrQYowun aArrr. 7,th emdcnlgnrd Applleod.ttrMy Waelam roe ta.nrr,OprrOvi wAldnrQrf Agog of Ralf BUlGn+,avdI arAmwle6ps bat a•ISWarFTm', <br /> P&,wcmS fMo.�mvr CYttffi'T�T aarorHomeGTbreAracaralWedxRhlW operxtlmxIDh Wkdb metsthe addmfldrWDed ebvvealbe Aeenu+r.9vrae¢n•frct/L ileo leW ttdf716a< <br /> n loror®eon proNdm oo tlif appertllen4 tnre am tnrreafi am that aR regti tW aeMm x11 be performed Iv wrvdanre w1W m rypRmde snn JwtKm+Counrc ordbaoce Coda emw <br /> Sbvaarm avd Simi arRVor Ftvraw.Linn avdlieDeseom.As BR rmmnegvm armr,oPer'Yon oragnt of be PrePerb betted W roe¢Dore fariKyfilm addmr,I IRrrL9 wienrheeh reline W <br /> any and WI mJb avd enNronmeneal afesfvert Irlvr�tbn to SAP]JOAQTIIN COLINIY F1VVDtOPADiirAL�.1LiH DEPAHLTfECIl'm foov r R s aveDade God W she fame tlrrc r h <br /> pranded[o fie orf%rrpmertWlvt. t <br /> PISAee PIe <br /> APPLICANTNAME Larry Witwer,Ami Adini 8: Associates.M Inc. 3111NANRE <br /> DRIYEWSUCEMEf <br /> TITLE Sr. Project Manager(Authorized Agent for Owner) ,a,erfe,,,,e Mm ww% <br /> Appww By Gab AoeamlM DIRu bd DWa <br />