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REGEN9Q.. 11 PM 2 <br /> AP San Joaquin County Environmental Health Department <br /> OATS MASTER FILE RECORD INFORMATION"MFR" GREEN FORM <br /> ENVIRON <br /> SITE MITIGATION&LOP <br /> P �T DwRen'O, DEQ UNIT IV <br /> OYMNERFILE:COMPLE7E7HEFOLLOK7NG PROPERTYOWNER INFORMNA770N.• Ck&*ff OWNERCraraEwnI`MJ R END <br /> v.°.rxrr DHHFRN0w Blinco Trucking } <br /> rim N/ :ag Pxet�NONep <br /> HarE Blinco Trucking <br /> Owner Home ATM <br /> East Mariposa Road <br /> DRY Stockton �'� an 95205 <br /> s <br /> OrMalllnpAddrase Same <br /> MeiYng Addlba Cily Stats <br /> z+P <br /> DORPt1MTM1 e] INprvIDWl❑ PARLH£R9111P0 FEDAMNn Fl DMER❑ <br /> $rry wnaATWN,ExvuwK nrAL A93mmPHr VOWWARYCLEAHUP—WATER QUALITY HW PIPELINE INVOrrcAT1ON LOP <br /> FAauTY IDE laws ACCOUNT ID YReIRDe S <br /> .:u?_•:.: i-irr�:;rte •ud ✓`. <br /> FAGILITYFLLE COMPLETE THrFOLLOWjW BUSINESS I FACILITY/SITE ImFORNAnpN.• J �.f <br /> E15ljh,jlS3 NEWW BIJSIrl sLD(A- MN Dot prevko ly regulated by the ENVIRONMENTAL HEAL71H DEPARTMENT? YEs ❑INo I,2s an Fx NG BM$Intvm LOCATION beta NEw TWE Of regulated Buuines ? YEs Y_t No ❑ <br /> g"I'n"TM`b"=' Blinco Trucking <br /> 2431 East Mariposa Road S.�N 15=N=PNONE <br /> 466-9001 <br /> Stockton <br /> 37AM <br /> Dp 95205 <br /> 9CaRDOFSU'l1HNOR DIfTratt {ACATRRl Doo[ Keri IfeY2 <br /> Nillna Addrpae IrD/FFfREHrDwn Fia7iq Ad baea Att..fl. :PTOera DE(epf aW <br /> MeiI�.9 Addrgl CRy SPATE bp <br /> SID CO APHe DOHMFNr: <br /> THnm PARTY 61LLrNa INFW COM.0f0te n Billing Party is different from Property Owmr or Facility Operator Mfanaftdabove <br /> eneNE89NAME Blinco Trucking Att—ti wamor raph'caw) Gregg Smith <br /> NaBing AODM" 2431 East Mariposa Road PNONa 466-9001 <br /> Stockton BTATc CA na 95205 <br /> for fees and dwgiat OWNER FAQurY/BDSINESS THIRD PARTY BILLING <br /> BrIiLYe vo COMM.IM�A�ipWLrpGf[YT: 1,the oeee.aiprtl APNk.n4 certay dat lam tee Pmo.Opome•,mdvhr,i.d A;eM of Wb Bl.iosaA aM I rlmcica�W[a8 PeefarFaq <br /> AG�•una,Gtirce(>a�rrGua[Bs+.Nw HOURLYCNAaGat as«!soca w4m Ubr aper aeee wm ee birW m me.Ir me.'s.IA•ry nb—..me AC 7Aodem for N6 aftc I A.asrtwM t.v <br /> +ar.mztlan prvMdW m thb appeneee b oue ape.m.racS sod YIMI vl rspd.cea nctlddM pie be prXwmee N acrudaoa Mie au rppBnek Su+joAgv n Co... ......C,n.dlor <br /> SO.eartu sae STwrr a.dler rm W— Red l infa aom. Aa me eJOAQ IN c oo-,epenrer,er ares of d,e p�op+ry,_–_ ,v me npwo UW Ala oddrw,I meOY.mMrha dw rt1eRc of <br /> •nr aw1 all gr and ec nftdNen1 anmmrnr infonrutl.n 1.SAN JOAQNN CD[INIY EN\TRONRiENYAL BEATEN DEPAAYMENT v amn a tr v zvaNhk and a d,e...:ryme a i. <br /> plONd[d ly @ gr o)y l.proNlid.L <br /> APPLICANTNANE(R fftlxr) ��,�,� a` yICO'Q BlcxwrvaE <br /> TITLE rAx l O# 7,Y 7Z <br /> eBr Geta acca.dly ome.procdn renp.e.d Ry o.e. `f��w....�� <br /> a.mmeATIGN Aa .PAm Ow. OF pAYNFRI PAran NY lyre R[c FrrY CNecKe RECrrveo Br 44i. ,• <br /> FEES .. -.. y��;'- <br />