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Mar. 26. 2014 3: 11 PM No. 4602 P. 2 <br /> San JZ%quin County Environmental Health Depftment <br /> DATE MASTER FILE RECORD INFORMATION"MFR" GREEN FORM <br /> SITE MITIGATION&LOP <br /> aNAOEO AaEAaroe rNDvarDNtT olmtERlD, CaaEN UNIT IV <br /> OWNER FILE:COMPLETE THEFoLwww PROPERTYOWNER INFORAMT10N. CNC-Arw OWNER C"NppyrLrONpl£dmf EHO <br /> PNMEary DMM NA Blinco Trucking ( ) <br /> F'hV MI Lex PNONENeeaer <br /> "INE8 N ME Blinco Trucking E LACORPA, <br /> Owner Nom, d <br /> `�M East Mariposa Road <br /> O1y Stockton SAT` aP 95205 <br /> Ota.erAw"Na Add,.,, Same <br /> RydPa Addl CAy(( �1 stm zip <br /> rAftlalNwDM17 INON�UN.❑ PANTNER911tI[] FED Ape"rx❑ oniFR� <br /> STfC NITWTION^ENVVKW"QN{AL AMEMMENY t1er,-wAKT CLCANVPWATw QuAu TY HW FimiN61NVaJi1G m=om,LOP <br /> EAgItTY ID, INN, AcooNr[rID <br /> <f?_:.vii+aribiL� •tl.'-:.ij•• <br /> FAGIL17YFILE CONPLM77fEFOLLOWMOSUSINESS/FACILITY/SITE I> <br /> INFoAwA77oh- u <br /> Is thisa NEW Bualneaa LOCATION not previously regulated by the ENNRDNNENFAL HEALTH DEPARTMENT? Ya ❑( No IX <br /> Isthlsan EXISTING BuSID LOCATION buts NEWTYPEoT regulated Buwnew Yt NO [] <br /> 5WNKSIFAM,M/ST1LNY Blinco Trucking <br /> St1EADDREA, 2431 East Mariposa Road sunal 11 9 mPRONE <br /> 466-9001 <br /> Cm Stockton sran DP <br /> CA 95205 <br /> fik w° auPuw,at Dlsraer Ia°AnoN.G= KtM Icm2 <br /> Mr'deg AdMwa,XD/FFERENlaarr FAaRFAda7va, AttenUorc orCee,DI(eplkne/f <br /> M u.g&Mm it City STA1 $Ir <br /> BICC°°¢ APNE CONMOVT: <br /> TH0WPAWYb1LLINa IMFo: Comp/eterY Blging Party is ddTerent from Property Owner or Faculty Operator Afenhwedabove. <br /> RC enNmE Blinco Trucking At ritim;oraeorrPP&DrIGreggSmith <br /> Ma'rlr&Q AO"" 2431 East Mariposa Road R0N6466-9001 <br /> `" Stockton CA LP 95205 <br /> for feea and dmuVes OWNER FACIIFrY/BUSINEW THIRD PARTY BILLING <br /> alu.me Avo Coa.n.IANIi A'ZTmowinaferrt: I,the u,de. pl Aypoa4 arrW d"I I cm the Pro•, WANG,*I Asr of"gm.' r,aM I dw.o iz du[all Pb Fees, <br /> Pdurns,Fi roatamrrf7uaCEJ a.dlar NOVaLYG/•uC6t aueelibM w5larAt epemdee wDILe Cmed almta[tbe adtlrev Nmtllld.bave.a dat�(ttte[aTAnDaffi farda.' nc,I.Laeeedlyd to <br /> .maebn prvodw m LW applkadw a ave and mreatC Gad N.l 4 rk kd ..Oidn wa a Prrlormm In.coram w w all epputank Srs.loAgmN cou OMN..Cie mala. <br /> Soeda.deaed STATE enol ETD WLawa+ud Atldadom. .V mea JOAQIN COU openter,aGreatafa,a prCpeaty lamed.t dot+bore tatNryrylq.dtlrerr,lbcebY.aiM.b du Riene of <br /> +.y.ml all mule and mNromxaoi anrnn.eol infaruud.n b SAN'IOAQIRN COUNTY <br /> APPLICANT <br /> rMTRONMEYYAl IjEAI.Tld DEPARTMENT n coon a i.a ampabk and a me n.ud.m k 6 <br /> praNdtd Io moor�nprarntadta *'� - <br /> APPLICANTNAME(Pt£.SrPeMr) <br /> TITTLE TAx ID# <br /> -7,Y 7Z <br /> a ey owl. as ,A ONu Pr . ° pl.t.d ay D.V !* <br /> smmmC.nT ANCI P/ D.rEOPPArrrlM PAWENYTr RE FT, OMECK, RECEIVED ey ICWf'p' <br /> FM* <br />