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04/01/08 TUE 16:01 FAX 208.,. 1831 VICTORIA ISLAND FARAI,. a003
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<br /> San Joaquin County Environmental Health Department
<br /> GREEN FARM
<br /> DATE C� � ) Q g MASTER FILE RECORD INFQRMAT ON "MFR„
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<br /> OWNER FILE
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<br /> FACILITY FILE QQ
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<br /> TS this a Nxwt Business LOCATION not previously mgufated by fhe EFmRONKENTALmE1LTH DEPARTMErM YE° ❑ Ka ❑
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<br /> �yrrn.rww rete for foo and Charges OWNER FAciuty[Bu6t M THIRD PARTY SILUNG
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<br /> lEN,eeri ,Lti�tMCIDvG7'CNN't+tty IWGUoT Nplacr C',,..xr:ir„jw•.,"mill,rhl�atlerLtI011 will N Attled to me wt Tbc aAdrou idmrtlBeV htH�t u rlrr ACLZZIAZ.UMI ilei,the. 1 7Uo-a.rlfty chat
<br /> Nl;arormatiore provided am thlr apyGceiiDh ie IYUt inti carrseC and rho,al[fsetfaocd acdrllics w11 be p,,f.,,.cl in Cr Hao-ft 1,11 1pp 1,111,SnN JUAQI,I COUNTY t)rdlnnnty C1l1r,,"W.,
<br /> SwndnrrL and STw]"Y 2nevor r1=141,U*t alld ft JUM0ns.As the unP�tlkeDhi o■ncr,ON—Mr,or x.—t orebe property L4m%d■t She ppyve 8-Etylrite addr ,l hereby au606a ilio r o
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<br /> APPUCANT NAME �} pp$IGt1ATUfIF
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<br /> 29.022.11 nprt115.2063
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