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09/19/00 12:33 FAX 916 991 1837 Eric Jenks JTF <br />09/12/2000 09:18 209468 FIFTH FLOOR <br />DATE ` Lod, MASTER FILE RECORD INFORMATION "MFR" <br />9uwora M°'uJ Fac EHD use VW � w <br />OWNER FILE <br />�!oMFLETE7"-=FoLr' ow1NG!PROPERTY OWNER INFORMA77Q111: <br />PROPERTYOWN6t . r <br />Nnm9 � N nV t_ (NL� T 1 I lam. <br />IFHdY MI !ae! <br />0Valr4USNAME -JOIII Q��Cjr F`• -I,�1 � -2-e `, <br />Owner Home Addrm C �� r �C_ �'Q <br />city <br />Owner M&ISIV Addreee <br />Maung Address City �4j C r[�MQ ti�d <br />FACILMY FILE <br />2002 <br />PAGE 02 <br />GREEN FORM <br />KO -,it, :fl{o <br />UNIT IV <br />CHECMIF OWNER CURI 6.vAI W7WCHO <br />PHONE <br />(gItD) qqI i'151 <br />SoCSEc(TAXIDA N f� <br />nc / <br />DRIVM'SUCENSES N Jfk <br />$TATE I ZIP <br />Cone 771FOLLowING BUSINESS I FACILITY 1 SITE 1NFORNA770JV <br />Fs this a New Business LOCAlTON Val prmiou* regulated by She ENVIRONMENPALHFALTH DIVItION 7 YES L1 NO <br />Al <br />is this an ExI INO6usiness LOtfApoN buts NEWTYPF Cf regulOted 9unlnLQ% 2 YDS ❑ NO \ \) <br />SUSINESW.EAeuiWBrTE NAME <br />- -- e fie <br />SITZ ADORE96 SUITEHUgINE55 PH F� <br />IR iq J 5�', t�,' �� a-ylau - _- (,01)ling <br />yp,MAR, <br />Amin. <br />�,I, T ,SIV <br />Its �D Cffl Q71Kr ,la �� ;ill <br />RN-9100% <br />or Care Of (PPI <br />''� Mr. Eric Jenks <br />Y'1ertik.. S <br />^_ John Taylor Fertilizer, a subsidiary of Wilbur -Ellis Company <br />Mani, PO Box 10 t 03 Q "q, G 9, <br />Marysville, CA 95901 - <br />THIRD PAR" 01I IHFoa Complete if Billing Party is d fl�renif fTpm Property Owner orFeeNiit31 []perabor IdenlrTft;d abore, <br />BUSANEssNPNE Attention_ orGare Or (OFGI <br />F.f.1I <br />Address PHONE <br />CITY STATG inP <br />ICCdfJMlAjWREW fnrfeq� and charges gwNE FACILITY/BUSINESS THIRD PARTY BILJNG <br />rllr L1HL• aNP CnNM.TAN r. ACIesInwll.gpy eNT; 1, the nodersiI APpHcant. cerdfy that 1 am the Olw°er, Operator, or or drld S.binrsv, and I nc"ewledge that 21] PFluwn FESS, <br />prNAL7IES,.ENvoAcEMFJYf II and/or HouRLYCxaxrr-s navodaoul vdth dttd operA*g, will he billgd ru me at the IIidentlflal auwe ae dIc Coo[m'r'nnnklrss PDT this ails. t aLvo ar6fy rbc[ all <br />Infdrmadoa provided on dile apldlI Id Quo and corrccr, and that alt regulated aciivitiee 1*91 be perrormed In accordance wilt) all applleA k toN JO,%QT°iN COUNTY Ordlnnaan Cabe and/or <br />Standards urd STATS andfor FEDERAL L-1 and RcglA r. As The undeesigncd owner, operver, sr ugrgt of lhv prr.Purty located ai the above Rilyfeitc �tdm , I bercby autkn iS the rt1twe of <br />any Aed as resaha and rn.+renl>uptnli urunrncnf inforawdon to S46N JOAQTJM COUN rY BNvI1tONMENTAL HEALTH)DIVISION as soon IT it ovailahlc and at the satno Ti nR 104 plv+ddcd ro <br />mr or my reprewntative. <br />PLEASEPRINT <br />APPLICANTNAME etc ��eM SIGNATURE <br />+✓[rpt � � nj, DRIVER'SLIDENSEsf <br />TITLE � NVt�C11I�F��'ik� �i�2S 1"\7R� vHarocovrrzaal}IRfla <br />6,0 <br />