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I U I LbI Lk7I5r 14:ZJ Hk:jr- "o+uo <br /> In/25/2007 111:5ti 2IP!94540199 ENVIRONMENTAL HE 7H PAGE H31196 <br /> Doe OrrMW 1W <br /> 10I25$007 101277 SAN JOAQUXN MUNTY ENV] NM.ENTAU HEALTH DEPARTMENT R°a°VW21 <br /> aum by FacRity Irtforma0an as of IW512007 papt <br /> Reea,d 941r dW E:J*o . Fk*ft IP FA0007488 q, L=e iz-i <br /> r <br /> �j, �+�(�j; MaimCh�ng.Naam�atroasMIrn Asa Ink er P..utt <br /> ilV 42'.6 �U0.E 90ORATiCYN CHANGE(date) 0 O <br /> ' QWNERSHiP CHANGE(dsts) <br /> OWNER FILE INFORMATION :SAN JUAUU1N COUN IY <br /> <br /> <br /> Ownarla QI }B42 _ <br /> Owner Name / CtiIC 4ZUL �14�1Ly G49�J�4 � .\�C, <br /> Owner USA <br /> t7wnar Addtoys PO4BqDX3" p. <br /> SAH CZ FIM�N. CFI1 �3__ -- <br /> Home Phone Not Spee•rled <br /> Workl8usiness Pflone g,q&M 1 <br /> MallingAddress P043eOt38f) <br /> Cere of <br /> FACILITY FILE iNroRN^TIoN <br /> FIMIMy to FA000746B <br /> Fa6lity Name $URGED KING#10368 <br /> Locatinn 4881 S HWY 99 FRONTAGE RD <br /> STOCKTON, CA 95215 <br /> Phone 209-463-09M <br /> Ugifing Address FkQVffl . �7• ax 1,511*� <br /> Carr,of <br /> I-ota4an Cade 01 -STOCKTON APN'17926051 <br /> Bos 17Mict 002-RUPISTALLER,BARRY SIC Codg9900 <br /> ACCOUNTS RECEIVABLE FILE INFORMA11ON <br /> Mrount ID ,AR0011544 New Account ID <br /> tftil Invokes to Owner Med Inwicpr to: CD-1'1 ' Fac0ty I Account <br /> Aecaunt Nanta rpptt, ,p.N L C �'T A 1. 1_L�.``I Icw c"l <br /> Account I3elance as of 10126121307; $0.00 <br /> t��a oaer <br /> TntlrhKlo /1G9rM�rtliraw! <br /> Pic9mml€1Nr+anlarw11@WpQ" RaearelD [mpr"GemahatVar" SIaNe TdAt?anUfr' Deleta <br /> 1925.RESTAURANTMAR 51.100 SEATS FROSnG514 GBODO9373.JOHN JACKSON A " N A 1 D <br /> 22.24.HAZ RMT BUSINESS PLAN ALITHORIZATIOPRD51308e I;EDGD0Dt10-HAZ MAT SJC OES inadve T N A 1 D <br /> 2244-PACT TRANSFER RErGORD-OES PRO5204711 FFOODOM4-HAZ MAT SJG OES ACMW Y N A I a <br /> 2399-UNIFIES MOURMA FAC STATF SLWCHARPRO51 OTBB rroonoogo-"AZ MAT 8JC OES InstCGue V N A 1 D <br /> LilUfNGand CDMP-LIANCEACKWOVWCEDMMEMT' ltretallere-srAlmro}ee>t apeeMse,PFte/e►rD hourly dlW".dacvdeted h11h thio <br /> reow co nomty*&to crest!Ib the vdny bHasRtiad as me ow4f t W ttd•brm. i sl•a cm*Itot aM arar..la ,-19 be prrftW ed M eccomarfte wrm wr tppWAHg atalmtae Coxed and!M 8tarrtlandrr end <br /> Stat!emdror F&OMIrJwrr. <br /> APPLICANTS BIGNATt1RE Aj=1 Dnte �O IIDLE/—_;_. <br /> Prrmram Rac da tt5 be TRAf4SPERt is "'jxO.VO- Amount Pdd Azya&—v Date 11P 1a 2'/k-,to 7 <br /> Water Sy9tam la he TRAM FEREID #5372.00- Amount Paid Dale 1 ! <br /> Payor t ✓ 11 bar f Rami y - <br /> REH Date t - ! Ancountaut � Bate t ! <br /> cGrrN4EN1's; <br /> PAYMENT <br /> RECPIVEID <br /> o C t 2 6 2007 <br /> SAN JOAQUIN COUNTY. <br /> ENVIRONmr-NTAL <br /> HEALTH�EPARTME <br /> lkphg-ahagl-nt4app9lCmtiaronrslrepari915021.rpt NT <br />