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F 0 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Re is 5/14/93 <br /> NEN FACILITY _� CHANGE OF OWNER DATE OF OWNER CHANGE / /_ INACTIVE <br /> Prior Amer <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / /_ DELETE <br /> OWNER FILE <br /> OWNER ID "` ' CASE # BILLING PARTY Y / <br /> b <br /> pager <br /> OWNER NAME Michael Dean OWNER NCL"( 209) 995 _ 2123 <br /> OWNER DBA c/o Central Valley Title OWNER 4RK/BUS PH ( ) <br /> ADDRESS 725 N . Main Street <br /> CITY Manteca STATE C_ zip 95336 <br /> MAILING ADDRESS same as above <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE N A NATURE OF OWNER BUSINESS NA <br /> FACILITY FILE <br /> FACILITY ID # D BILLING PARTY Y / NO <br /> /���_�'y� '.• # OF EMPLOYEES 0 <br /> 'M <br /> FACILITY NAME LsVr�r^'� �1IG TRUST LANDS? Y / N <br /> FACILITY ADDRESS 1721 west Yosemite Avenue HOME PH ( NA ) <br /> CROSS STREET St . D o m i n i c ' s Drive BUSN PH ( N A ) <br /> CITY Manteca STATE CA zip 95336 <br /> Census --------- BOS Dist Location Code City Code ----------- <br /> MAILING ADDRESS NA 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 Nancy Bond , SECOR International Inc . HOME PHONE ( NA ) - <br /> MAILING ADDRESS 90 New Montgomery , Suite 620 , SF , CA 94105 BUSH PHONE ( 415 ) . 882. 1548 <br /> CARE OF PClge IOA <br /> CITY STATE - _. ZIP ___ _ <br />