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.yep 24 05 09:10p William A. 6^Avall CW ;47 <br /> P.1 <br /> OS/21/2005 16: 36 24196663433 EHD PAGE 82 <br /> SAN JOAQ V IN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> LOCAL OVERSIGHTPROGRAM <br /> Responsible Party Information as of 6/[5/2005 <br /> LOP SITE FILE INFORMATION 35,2b <br /> Casa M 1 S82 <br /> Site N&MG AM 0UCAN.MOULDINO&MILLWORK <br /> LoMen 2801 WESTLA.NELN <br /> STOCKTON,CA 95208 <br /> Pftrta 209-946-5880 <br /> The following information 4s currently as flip with this Deparhneac The I—MItm =a:u"Jated <br /> identified below will be responsible for payment of invoices for direct evertigbt chasttt. If this billing Inforaaetinn is not amtrate, please makeaeceasitry ebanets in th <br /> i jign and return tl:i- C:r-7- <br /> CDRMAa(01NCKANlt In RED Ink w cL <br /> RESPONSIBLE PARTY INFORMATION i�� INFORMATONC1At7Cafi(kW) z, ZOQJ <br /> PIi1-RP bats bots amned o Primary Rp I -3usinass Nanr AMERaCAN FOREST XRODUCTSCOLY RS ONY MNDOLNGIONC: tact �LIAM BE 870 GATEWAY OAKS DRIVE SUITE 150 <br /> Address 29T/YGNACIOYALLEYROtl241 ACRAMENTO, CA 95833 <br /> wALNUr CREEK,cA 9499a 16-679-2293 j <br /> Phone <br /> �41 <br /> 91wNA and COMPLIANCE ACKAIOVVLfiDGf *NT: I,a*undtrttanad 6wnar.6pWWW.WNnlry Na msbio party,w tend of Mone.■wm ftuvv vitt au <br /> tea,itldl6r prc�ed spapnC,EHO heudy ChMSIM 8536atlM rnm 11%tltrwa ha 1141W I*yr parry Itldn111ad=On PRIMARY RWPONSIaL£PARTY on Ila <br /> #3M. I eHo nm1Ny that all optn fe wW be pedam*d In zC=nIWM wilt dl aPPIcaert Or lht Codon t NVW Smnderde and 6UN,*mL%r r6d"I L1rwa. <br /> PRINT5U NAME "L� • vCC-i �1 t...�__ TFrLE. <br /> RE.PRESEW NG: GZ <br /> SIGNATURE: --® Date / 1 -?-7,1 0 <br /> Repo"a 3021 Do 6nsao6s <br />