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03/24/2695 16:55 4640138 ENJIRONMENTAL HEALTH FAQ 02 <br /> omml, 312412005 2:51 "PR SAN.1" �QUIN COUNTY ENVIRONMENTAL HEAL- DEPARTMENT ReP:el#5021 <br /> Per by 4008 11caclllty Information as of 3/24/200 Papal <br /> Rpocro Stacdon cmnuc rao ny ib ' FA0003531 <br /> Make change4fcOmections In RED Ink or pencil. <br /> INFORMATION CHANGE(date) <br /> OWNERSHIP CHANGE(date) 1/� <br /> OWNER FILE INFORMATION <br /> '�— Owns,ID OW0002636 Now Owner ID <br /> Owner Name PA1dC+t,-W19S 5 K GiY <br /> Owner CBA BEST CLEANERS a of <br /> Owner Addrssa 9756 b1dZU61TE GT 71 -lI h C IJ I� <br /> 2 4 O <br /> Home Phone 969.36921!06 - 3 z <br /> Workll3usness Phlme µet•6paiAed ibR 36q 2�h6;' <br /> MaiBng Address 544.L1 1LLT8Mf4"T- X4.1 tJ• Ht4TCkT16 ST <br /> LSF.-£A 952ag L-OP I C14 915-1-4-0 <br /> Cane of <br /> FACILITY FILE INFORMATION <br /> Faallgr ID FA0003531 <br /> Feollky N me BEST CLEANERS <br /> Location 541 N HUTCHINS ST <br /> LODI, CA 95240 <br /> Phase 209-369-2865 <br /> MalllngAddresS 5541 N HUTCHINS$T <br /> LODI, CA 95240 <br /> Care of BEST CLEANERS <br /> Location Code 02-LODI APN:03725001 <br /> 808 District 004-SEIGLOCK, JACK SIC COM: <br /> ACCOUNTS RECEIVA19LE FILE INFORMATION <br /> A=urt ID AR0003109 New Account ID: <br /> Mail Invoices to Facility Mai Invoices to: owner 1 Facts Account <br /> AecountName BEST CLEANERS e> <br /> Account Balance as 013/2412005: $0.00 (cards Orel <br /> Traaer tri /MdleeAeeCly <br /> N 0~ Oawta <br /> PrpenlNEbmed aid DeeedPlbe Record ID Empleyee lD and ranee Stelae <br /> 2220-SM HW GEN e5 TONSIYR PRO522211 EEDOOBS99-DENNIS CATANYAG Active Y N A I Cl <br /> 2381 .UST FACILITY(BEFORE 1184) PRO232385 EE0003500-MICHELE=LE Inactive Y N A 1 ❑ <br /> one,P�S/EHD hourly <br /> No m epMr ori be Nlvd j. Pe S Mamtffl'MNae ma ow%R m tN9 former m aw H tb etl mralt of on,�M perloe m N 4eae°°^te^�win�eppKeca Ord nate ad&*nkror$U d *see e <br /> S,p erNafedwal law <br /> z LICANT'S SIONATUR?: (/ Date <br /> Program Records to he TRANSFERED: _-S20.00= ±fKD cAnloun;POW <br /> Wa}er"ontobOTRANSFERED: '$155.OD" Amount Paid Date; _ <br /> Payment Type ✓ Check Number_ 4� _Recelved by <br /> REHS: Date��J� Account out: Zt��"Data 1 1��— <br /> cONAMINTe: <br /> P�ECENED <br /> PIPR g 2p05 <br /> Nphs-ehegl.ntUPpliewsi,ms teport5\5021.nA OV,N OOUNN <br /> JOA NME T� <br /> SH LTH 0 ARTMEtSt <br />