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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES • ENVIRONMEMTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMTION FCRM EN 01 15 (WNFAC) R-le 5/14/93 <br /> '! NEW FACILITY <br /> CHANGE OF OWNER <br /> DATE OF OWNER CHANGE —_/ /__ INACTIVE <br /> Prior Amer DELETE <br /> /�� <br /> i SIE UNOER.CONSTRUCiION CHANCE OF BILLING � DATE OF BILLING CHANGE J ' <br /> OMER FILE <br /> '1 CASE N BILLING PARTY T / N <br /> OWNER 10 <br /> OWNER NAME �V U I�• �U� �Y���J ���� OWNER HOME PHONE (Z�)f--I- <br /> WNER DSA OWNER WRK/BUS PH ( ) <br /> ADDRESS TT-ONL )Q 1)r- 4 <br /> CITY STATE _ 2(P 'S J LSP <br /> b <br /> HAILING ADDRESS ✓! <br /> CARE OF '�/y� <br /> CITY U"J STATE ZIP <br /> BUSINESS CODE �� NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> II'� fACILITY 10 k 7LL92 ; - BILLINO PARTY Y / R <br /> }- N OF EMPLOYEES <br /> FACILITY NAME rRILnu CA-V P,c 66% _ _ - • -. TRUST LANDS? T / N <br /> FACILITY AOORESS Z l��n_ 600/74 {'ylG'��E�Yc� Y � - NOME PH C--) �25l <br /> G�T�� 1 uJ C C�L Bush Px <br /> CROSS STREET tf >�•.� <br /> CITY A15 5C-6 1-:0 i STATE ZIP <br /> 'j Census ••-•!•�•-- E}OS.D�Iat ", laatlon Code CltY Code ••-••••••• `. <br /> MAILI•NO ADDRESS J Yf nFC= ADN M <br /> CARE OF SIC CODE . . - <br /> CITY _ STATE ZIP <br /> GENERAL TYPE of BUSINESS at th k FACILITY -- -— <br /> j UST FAC 9tATU9 CODE DUGINESS CODE BUSINESS TYPE (UST) <br /> TNIAD PARTY YtLLima INFORMATION <br /> ` <br /> NAM G /C I{U� NOME PHONE t ) <br /> I /S out C y�— BUSx PHONE t ) f <br /> MAILING A00RESS Z A� ?�.- <br /> 96 -16 <br /> CARE OF 4-A—V ILd &yI2 2 _- . Inge IOA , <br /> CITY - STATE ZIP <br />