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$r�,ti,'agLin County Environmental Health Department <br /> DATE GREEN FORM <br /> 08-30-10 MASTER FILE RECORD INFORMATION "MFR" <br /> 9.. Ed,D_� OK GWtmiIDle r_,•_�M UNIT IV <br /> oavNelt rue <br /> Coy►PLErETHEFottowwPROPERTY OWNER/NFaMranoN cn�/rowNERcu rn.o�nc�wmrENn <br /> pagppnr OV0131pyME Paul ZumberaePdOm 714-590-8245 <br /> Fina Ml Lest <br /> SUNNOUSNAME Frontier Transportation Inc. 94-1685428 <br /> OMnarrlorrie Adttraea pnYEabLICEftsEF <br /> CRY STATE ZP <br /> °v V01inpAd*. 3577 West Phildel hia <br /> MaWQAddfeHeCity Chino �a CA 91710 <br /> pOaPonATIttI® IIAIMfAIN.❑ PARTHEIMWO FinMa3tSrY❑ QR61❑ <br /> PACIILITY PILE <br /> FAdunlDf Caoea Rff lDP AIxOUNiIDi INvO <br /> COMPLETE THEFOLLOw AFG BUSINESS 1 FACILITY I SITE/NFORMATlON. <br /> Is this a NEwausinesa LDOATIONnOtPfealmTslY regulated bythe ENVI a MEHrA-HEALTN Diwr.4 Yes ❑ NO"k] <br /> Is this an ENSNO Riillflaaa LOCATION but a NEWTYPE of ntgWAted Buainas ? Yes ❑ NO <br /> 91 <br /> Frontier Transportation Inc. <br /> $�AooaELs SUITE# BL**✓FSBP"a 209-936-0251 <br /> 425 Larch Road <br /> �A� zr 95376 <br /> p"' Tracy CA <br /> BWaDOFSUPU ° D*VtIOTLocAncN CODE KE" K1 <br /> MwWnp Micas/rD1FFER6Yrf MF Atkbros Amanlbn:or CCA Of(opolA•W <br /> AfdtlfCMCft STATE ZIP <br /> alacOM APNs Cowua <br /> TMRD PARTY BILLING INFO: Complete if Billing Party is diRerent from Property owner or Facility Operator identikedabove. <br /> atongor.dr°aroOr 1 ✓1 Lar Witwer <br /> ��� Ami Adini&Associates, Inc. �' <br /> Usi"Ptldmn4609 Russell Avenue f;t (323) 913-4073 <br /> STATE DP 90027 <br /> °iLos Angeles CA <br /> AmavbTAoDaess tar fees and charges OWNER FAOLITYIBUsrtss TNFm Pam BIWNC <br /> et Wf1C mn CDWUA tACATIOWL[nLT r- 1.de rmdenlgood APPlkad,..MdmtI am the eeew,OprMn•orA06or6M Agafef Qae Bmlau,and Iadmovid9t met ar Pamwr"n, <br /> f?]Ntm&ATo%Tl•ID+rCR<al�and�orHarmt)Of4rs�a,odatcdxith lH+operalloa vgl be Urkd to me4tbe admerldrolWedaewt mike A�'PJrM ^��4'fordm dle labs arlfy ltrat <br /> A bYor®tlon P'mf�on the opperllenb hue and carmk avd dzK d r�JJd aoxNiln w11 beperfarmN m accanhnte Mm m appEmble Snn JrmOum CouR15'ONnanre Cede avNar <br /> Siantlartb a�Srnic anNorttofnN.Lmn aadRe@aJlom.Af tle uoM+igor4 owner.operYar.ora�ntJ mt P�Pef V lemf�of m<�°K faclMrhlie add,e,s,I lemlry aWadeeme rtieae d <br /> aop avd ab rnJtl am emlmntmt t muatmeA Infi.> Mn to SAN JOAQUEN COUNTY FNVUZOHIYHSTJAL HEALTH DEPARTMEI`IT a eoov m N b available avd at me rave tlme[h <br /> pm�WMty ae ormy reprmeVativi: d <br /> APPLICANTNAME PIa�aEPaslr 91GNATURE .ti. _ <br /> Larry Witwer Ami Adini & Associates. Inc. <br /> DrovEWsucaues <br /> TITLE Sr. Project Manager(Authorized Agent for Owner) P a orar aE� nEm <br /> Aovrv/W er Gam omen d <br /> s-aL laivm <br />