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PU.BL,�.� rin TH SERVICES <br /> d SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> P 4 Box 2009, Stockton, CA 95201 <br /> 445 N. San Joaquin, Stockton <br /> (209)468-3420 <br /> CERTIFICATION OF NON-OPERATION <br /> ..u.u...,f..a.i,l..irri rfiir/u..aaaraau.u.a...wuir.r//a/rrgrprr...iuuiu.w.raarrr..fii/wrri..aru•fi..a.1f i.i w.....0 <br /> r .ia/a..u..•.i.....a•.••../aa..r\raf.rf.....i.i.aa\aster.•ui......fi.si.../aaa■a.a..i...■r./....rel.uuu......uu.........••... <br /> ..,a...a a u r...a i.r.a.f...,\.alit//•.rauaur.r uaii.■i ai.//.ar./\ass,u.u f u...a.//.r wu..r..•a///..a u......,,..•q.ai u.r/::: <br /> NOTICE: Health and Safety Code Section 170375 requires any person ceasing to operate <br /> .,.. :•:: <br /> or maintain employee housing to annually file a Certification of -Operation with the .:.. <br /> •., 4;;;; enforcement agency for two years following the discontinuation. Section 1,7037.5-is reprinted <br /> ::::-oa�the'rcvecse`side�of"tlzis=page:-'For��ditiottal-�infocmaton�rall--the--Department}at=s:::-:�-� �- <br /> (916) 445-9471. <br /> M. N H <br /> •....l...rat\•rfl..aa..•ii1.i../•err.ral.ri\r•i..//err\a•..Iffrri.//..a/a..f•rani\•r.r..f..\a\aa..il...a/..\.....r....a.......ff1f.• <br /> ir.•........f........f.if.•••aa.\af...i.//aa.\..•.....irli..i/...........1........fa..•rfr.r..•/......\r..ii./.a..a..•\.111.,....... <br /> r.r\ran\\a..l.rata\...as.•i/.//aa\rrffli..i///////a.rarflat...f.••/a/a.•a4laa.,.rif.../•rr.••.lfif.if/ra\1a..r..f....a.•.r..11...1.• <br /> Certificate for Calendar Year 1 9 9 4 Employee Housing Facility I.D. No. 3 9-5 1 <br /> Employee Housing Facility Name Country .Farms^ . <br /> P . 0 . Box 6066 Stockton , CAS. 95206 <br /> Address <br /> Operator Name Country Farms <br /> Address 16500 W. Clifton Court Road , Stockton CA. 9 520 <br /> G <br /> 4 Telephone No. ( 2 0 9 ) 943-2079 <br /> 1 <br /> Property Owner Name <br /> Address P . 0 . Box 6066 Stockton , CA. 95206 <br /> Reason for Discontinued Operation (Check as appropriate) <br /> C1 Property Sold To: On: <br /> Q Housing Destroyed (Date): MA= <br /> C1 Housing Facility still cdsts, but will not be occupied by any employees any part of year <br /> Q Faezfity wM only,be occupied by_(less than S) employes during the calendar year <br /> X3 Other, of mzplanado S Company went out of business prior to 1989 <br /> i and this facility is no To7ger inhabitable and ..nobody occupies <br /> the housing . <br /> mum amt of employees wto haw or wa occupy the facffity identified above during <br /> the CaLendgry= NONE <br /> �� Is Thomas Sarale as Partner <br /> cetdfica {batt Am cnnm <br /> certify ,� pity of t the information provided herein is true and correct to the best <br /> of my knowledge- <br /> S4aat>a DBLC 1 /5/94 <br />