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SAN JOAOUIN•.JNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL OLTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (WNFAC) Revis 8/26/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE _/ /_ =DELETE = <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / <br /> OWNER FILE <br /> CASE # BILLING PARTY Y / <br /> OWNER NAME Alden Park / ity of TraciY/Various Residents OWNER NOME PHONE ( ) <br /> OWNER DBA N/A - OWNER WRK/BUS PH ( ) <br /> OWNER ADDRESS Various <br /> OWNER CITY Tracy STATE CA ZIP JA <br /> JUN 2 8 1995 <br /> MAILING ADDRESS <br /> ENVIRONMENTAL HEALTH <br /> CARE OF RE:;"ITiSERVICES <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID # r1c, BILLING PARTY Y / <br /> CL l ,# OF EMPLOYEES <br /> FACILITY NAME Alden Park Area Residents TRUST LANDS? Y / N <br /> FACILITY ADDRESS 4—ax4 ILG C-�-4 j�,Ly �,/,(/� HOME PH <br /> CROSS STREET Sequoia Blvd. , Palm Circle, Chestnut Ave. BUSH PH ( ) <br /> Centra-Court Dr. <br /> CITY Tracy STATE CA ZIP <br /> Census --------- BOS Dist Location Code City Cade ---------- <br /> MAILING ADDRESS APN # Various <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 _ Chevron Pipe Line Co. HOME PHONE ( ) <br /> MAILING ADDRESS P. 0. Box 5059 BUSH PHONE ( 510 > 842 - 6930 <br /> CARE OF Mr. Don Culbertson <br /> CITY San Ramon 0 STATE CA ZIP 03 <br />