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03-23-1995 03 8PM� FROM; TO 8325152 P.01.. 1`! <br /> SAN JOAQUI17 COUNTY POSLIC HEALTH SERVICES - WVIR023MEN3�\AAL� �.]�1TR DIVISIVN <br /> MASTERPME RECORD INFORMATION FORM ER 01 15 WWNFAC) Revis 8/26/93 <br /> 'NEW FACILITY quUM3,OF Qwm DATE OF MINER CRANGE / / INACTIVE T <br /> Prior owner —- <br /> NMZR CONSTROCT16N 'cmNG6 OP,4c LLrNG'-- _. DATE Up BILGING CHAAZC$ <br /> OWNER FILE, <br /> OWNER ID /7 7 CASE k BILLING PAR'T'Y <br /> FlNGM=MRr-SS <br /> NAM <br /> C l OWNER HOT. ANONE ( 2-�} � -- z Q <br /> A T C- • 'K C OWNER WWRUS PN { <br /> S d rJ <br /> Y C.4� _I p 7�, ,.- � <br /> o C /„�� PAYMENT <br /> /' GaJ AUG 2 5 1995 <br /> Y _jr( W-- _ --- STAT$ _ DIP __ , �� SAN JOA00N COUNTY <br /> -- PUBUC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH D'VISfON <br /> BaSIbm" CODE' NAIURE OP OWNER BOSIN656 <br /> rACILITY FILE <br /> FACILITY YD /� BILLIM PARTC. Y / <br /> JJCC�/ <br /> cy[ �r <br /> CILM Nm /` c p�A a OF F I,oYE£s <br /> TRUST LAZ=? <br /> AGILITY ADDRESS <br /> atass'smur (r aUSN PH ! , <br /> CITY STAB ZIP <br /> Igcation Cudc <br /> �r4r. Code_ <br /> h912L= ADDRwS <br /> . AM W I I <br /> CARE OP <br /> SIC CODE j <br /> C.Trf STATE <br /> zIP <br /> GZMhRAL TYPE of BUSINESS at this FACILITY I <br /> - 1 <br /> 'UST SAC 5TATu5 CORD <br /> 8V8INRss COnE MINESS TYPE (OST) <br /> Tum, PARTY $ILLING nn7,W MATION <br /> NAM <br /> _ ROW PHONE <br /> MAID ADDRRSS <br /> `t 9Y18N PRONE ! ) ^^�--- <br /> c " 0P <br /> , .,� STATS ZTp - y i <br />