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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> NEN FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE / /_ INACTIVE <br /> Prior Amer <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANCE / /_ DELETE <br /> OWNER FILE <br /> OWNER ID ^i) I CASE N BILLING PARTY T / N <br /> I,, <br /> OWNER NAME �� o�1C• f fJ <br /> / �A I (.j� _ — OWNER HOME PHONE ( <br /> OWNER DBA l_ G l f'(7A✓IJ I l\ ��W I M I OWNER WRK/BUS PH ( � f ) UY67- V z <br /> �1 r <br /> ADDRESS v 'ssp.,/ I ' ' A ^f Jq�i 17 <br /> CITY �1.'t.(',:' STATE �, \ ZIP V <br /> MAILING ADDRESS LV\✓O P-Iny 0,?�o <br /> CARE OF <br /> CITY '`- - �. STATE C�1 Z(InP/?�1 <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID k / 7 BILLING PARTY Y / N <br /> �1 <br /> / k OF EMPLOYEES 3 '� <br /> FACILITY NAME (//A- PLA)rOA,AIiRc, �!./ CO TRUST LANDS? Y /o <br /> FACILITY ADDRESS � 'Z,V f f(_ F Y lAf1,I/�n_t a �[ /) NOME PH O � <br /> CROSS STREET U V I (J IJ --D I BUSH PH ( aq ) - <br /> CITY .(i I r-�G�� •J STATE -L ZIP <br /> Census ......... <br /> BOOSS'Dist Location Code City Code ........... <br /> MAILING ADDRESS - D . 9('X' c C,J S -(� ( 9A.). CK APN k <br /> CARE OF !✓i(-�' 1 �A ��1� /!'1 -k SIC CODE <br /> CITY 4 (L� STATE ZIP '-1 v� 'ZI.J <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UFT) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME 1 � ' HOME PHONE ( <br /> MAILING ADDRESS '4 1`t-yS f <br /> BUSH PHONE (GIL ) `Ti I+E�- L„ <br /> CARE OF o ` Page 10,4 <br /> CITY Te, r `^/ctc� STATE C4 ZIP <br />