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y <br /> ` SAN JOAQUIN CUua fY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEA1.aci DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 8/26/93 <br /> NEW FACILITY " CHANGE OF OWNER DATE OF OWNER CHANGE <br /> / / INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION 04ANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OWNER ID CASE # 3ILLING PARTY Y / N <br /> OWNER NAME �I�UTy`7�� `�Q�Q� OWNER HOME PHONE ( ) 19 13 - 6-17? <br /> OWNER DBA gacrna-t' - �SGab' ��c1CeY��i9f�(� OWNER WRK/BUS PH <br /> OWNER ADDRESS <br /> OWNER CITY (KV,(/ STA' ZIP <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE <br /> i <br /> ROBERT T.NURISSO <br /> BUSINESS CODE NATURE OF OWNER BUSINESS EXECUTIVE VICE <br /> PRESIDENT <br /> FACILITY FILE Mechanical Contractors,License No.184480 <br /> SCOTT CQ OF CALIFORNIA FAX(510)895-6160 <br /> FACILITY ID # 1717 Doolittle Drive,San Leandro,California 94577-0655 / (510)895-2333 <br /> Private Line#(510)895-2794/Home Business#(415)367-1758 <br /> FAX#(415)365-1786 <br /> FACILITY NAME _ SSC lJ(L¢Q TRUST LANDS? Y / N - <br /> FACILITY ADDRESS L1�7 CSO t L G. HOME PH ( ) <br /> CROSS STREET (Z6 BUSN PH <br /> CITY V)'n K I J STA-- ZIP ! 3 a <br /> CensusI --------- I BOS Dist Location Code City Code ----------- <br /> MAILING ADDRESS 417 � � APN # <br /> CARE OF ' v b- -S d4,-21L7? C�,� SIC CODE <br /> CITY v nk STATE ZIP (fes <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) ✓ <br /> THIRD PARTY BILLING INFORMATION 0 j <br /> NAME /y /fT�(�� 140ME PHONE <br /> MAILING ADDRESS BUSN PHONE ( ] <br /> CARE OF <br /> .1 <br /> CITY STATE ZIP <br />