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San Joaquin County Environmental Health Department <br /> 6 I <br /> DATE I 2' O MASTER FILE RECORD INFORMATION "MFR" GRMN FORM <br /> c—# UNIT IV <br /> --— OWNER FILE <br /> QAmmgmwEAxLowjwPR0PERTY rMfoom RQN, 6Ar OWNER MarwnraNrDre END <br /> "�" TDune.NMe E NEST P GrIANJECC44INI pl- X01-q31 -X350 <br /> Fit M/ <br /> eusnNss n.Me �rr�e s a vi c `i J-I Oyf—TpIJC Smsec/TntID# <br /> Owren Name �/f`o [l4 <br /> OAd&— 14(`' l Il�� (�.s4 �a*ki (oo Rotc l D�v a6ILJCNtti y <br /> (7kod& Z <br /> City s7An '( m/ K>c—_ I s! <br /> O MaiYn Aad.0 <br /> Manbrg Acid m uY b no <br /> Ca.ra.Arun Iro E] PA. El FWAm 0 Omr❑ <br /> FACILITY FILE <br /> FA ID# .an(/05— Cana Re,ID a A=UW ID# a 1"* O (�I .L <br /> CaAyumnwA= 720m, <br /> IS&/ a NEW Bednu.LxAnoN not prWIODfIy,r*Wl&W by VV ENVNIDNMwa HmL DEYARTMEpM Yen ❑ NOV a <br /> Is itn an Eln9Tgeg Mdnw LounoN bot a NEW IYR Of Nbed Business? Y© ❑ NOV <br /> aafaeS/FA Isnv NMn V rales Genl.t2( I . S+uvc t7(� <br /> smA°"�, WA01 Eas+ Wa+trluo Poad S�# erHgeessPNONe 2i sqq <br /> sA,(A mq 5ak5 <br /> eawrNSWeAvoa DanCr loGTfoN Done ReYI IDn <br /> MWMw Addrer MDJ/PHf19VTAdrn hpMJ'.Aellea Aflarrllom ar Cm Of(apffmao <br /> Mailing Addm City SrAn m <br /> SIC cone APH# W rerrerm <br /> THIRD PARTY BHLNa Iwo. CaLPte#r Billing Party is d1?ermt hove Property owner OrFadifty,Operator khn6redabope. <br /> �N� AWSRIon:arCre Of(gPNaW <br /> Mailing Address Nrove <br /> C <br /> SrAn Ib <br /> ACOMMUAgEEi'for(sas end doNes OWNM FACnM/Ekned s THIRD PARTY BILU <br /> d��... .a.rvrar.. ,-♦ _— ^— I.dM rMnlPd AyPYraA nNy d.e 1.v He axon.agnro.,er Avdofad Mev of A4 err�^R aM 1 <br /> Prrvuma,9vrodmrprOUAra.Wr HoourCluAtEt.roclmd w4a lW.pv.tloa w9lM blW meenrEe Mdrs Nmtlad.6me ol4ed0]MAgdDgF�for mYv�tlw d.l <br /> .tl Iel.rwatlw IeaWeM a M4.ptlt.nee 6 bw wd aerrecl;.ad dvt J rgWud.eeMtle.we k PerbnN M.nadwn wlM.tl.yytlr.Dk Sur JWQad Cduwry OrJW.n CaEn.eNw <br /> Suna.Nr.b SrArz wNa P[P4LL l�rr.M Rar.btlaw.Ar A..Mndtlaed ower.^Pv.Iarar gear efrhe Paperry 4a.bd M Wa.baee tadtlyAlY.tldrnrI henby..IhMke Ibe rrkae of <br /> nua .b eevim.rm W..reenena iaferw.n.d M SAN JOAQUIN COUNTY ENYIRONM@ AL REALTR DFJ•ARTMENT M raw M 114 n.Wb4 d ar de rade rd It b <br /> Pm i W n Me n.d reanaenbri.. <br /> ,,,/— R Pm �( , <br /> APPLICANT NAME SIGNATU TME / fmA=`suw= FO44Oo62� <br /> Nvar..F d <br /> oval Atmntlna dila N--ky Dw.dle.d we <br /> Apri125.2n01 <br />