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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILB RECORD INFORMATION FORM EH O1 15 (OWNFAC) ReVi9 8/26/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE / /_ INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> / OWNER FILE <br /> OWNER ID �^ ,(� CASE # BILLING PARTY Y(/� / N <br /> OWNER NAME � vl /IA IY` �J/ `/ OWNER HOME PHONE <br /> OWNER DBA OWNER WRK/HUS PH <br /> OWNER ADDRESS / <br /> OWNER CITY � �./ STATE ZIP l7T <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> rr <br /> y�� <br /> FACILITY ID # r /rv� 7a 3 /`,, BILLING PARTY Y / N <br /> / J(,I/ ,/ VV1_�V EES / <br /> FACILITY NAME TRUST LANDSY N� v,y� `J(((+Q"`III� <br /> FACILITY ADDRESS O �V I SLA v HOME PH ( ) <br /> CROSS STREET BUSN PH <br /> CITY STATE C11 . ZIP <br /> Census --------- TIOS Dist Location Code City Code ----------- <br /> MAILING ADDRESS APN # <br /> CARE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME HOME PHONE <br /> MAILING ADDRESS <br /> 4 J PHONECARE ( ) <br /> - - <br /> OF __ <br />