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11-17-1998 09:55PM FRCkI IU 173ec4111JS r.to <br /> `- SERVICE REQUEST <br /> Type of Bu#InY#f or Property fACII.CCY It)Y SERVICE REOUEBT f�'/ <br /> Jiffy Lube 013 <br /> OY/RR I OPERATOR - BLUNG PARrr <br /> Broa se DBA Jiffy Lube <br /> FACAJIV NAME <br /> jiffy Lube <br /> WADomm <br /> 1209 E. Hammr bmiooie,er Oeaaeaa a...... fhra euM+ <br /> MaIIN7a AddMW (R UMNUA ROM SRI A#Ona1 <br /> Broadbase DBA Jiffy Lube <br /> Cm <br /> Lathrop <br /> STATE CA Zp 95330 <br /> PH=0 AP"11 LAN#Um AmmxATm# <br /> (209 858-5143 061-380-042 <br /> P11aA[#Z ti.. S"Dt•rncr <br /> CONTRACTOR I SERVICE REOUESTOR <br /> Neouesron OAa�o 1'Mrr f] <br /> Kevin Post <br /> UU MEaS NAYS I,T3( F w. <br /> URSA Engineering 53( 241-5363 <br /> MMM ACOPWU PAa■ <br /> 3963 Eastside Road 53 241-1155 <br /> CIT Redding <br /> STATE CA I) 96001 <br /> R14 ACNNGVJLEOGEMENL' 1 m•wWftg aed vmW ty or Weirw omw.operator a a dnrtr•d NMR W•ane,adaoalWpe#0 el Inde endla Pt*d 7101010 <br /> P1YtlG IIEAUH SOI'ACS!aNV7pMBITAI HFALTN ONtI10R RO+nry OMgM YndIMO A111 lil pAt1•rd a acWKy�!b•EO•d n er a mF Iu+YY•s d id•Mhd an dwe(am <br /> l tm oNy Svl l Mw vap•I•d ft 7,r ,bm led O17ISMtW M wont to be p/AORNd era 0100m n Axwwlol WVA d Sw JGAONI COM"000 GaAMSYrdrW.SrAIE ORd <br /> FI01J41 Ws. <br /> A ( Y <br /> ,n,cAHryow.tr"E: Agent for Owner yn; 12/2/98 <br /> PAarattl M�aelEsa Ow[A ❑ OPNATCRI MAW.UM 0 OnMALMAOR FDAGMT 0 <br /> AMIFwrYnd/rBfidTtl®.I�/wfbat�'m pAjas pWa/ M4 <br /> TH NT Ral.EA#I INFORMATION:vN�..appacaeb.l.ep owwr a oparaW d!w wep.�0'loaeead n Yn ab�w He W...a Ir W/auaroeha M raloAx d <br /> am andel 0e0pdmlol dell,$Mllor W WWWWtrlY7ad•*SMVrNnl ifklNYft in da SAA JG0aM Cojm PUNA HMTW SERVM EHN101104TAI.MFAITH Omitpl M non <br /> Y 1 s mess"end r"urn•WA i Y presided a RY of my Mp"W"O t <br /> TYPE OF SOmICE Riwww' <br /> C01111Y11Ts: I . <br /> PAYMENT <br /> DEC 41998 <br /> SAN JOAQUIN COUNTY <br /> ENVIPUBLIC HEALTH <br /> HH SERVICES <br /> ME <br /> MCTOR'7516RA RG Q COWRAVIOWSSRHATVAE <br /> A►PROVED er: a,� '` -\ EALTH DIVIC'mi <br /> EnE -#,- C) � DAM <br /> A7a10eE01b: �. � L-AElVEOr�R L%C : 4 OATS: / <br /> UM SWUM CcoDRWM w la#IN coo �k sEAVIrsCaaa <br /> aN AMU= 7 "" AM*.Rt Pard PMrnt DM <br /> Payment Type Invoice# G»ck# Received EY. <br /> TOTRL P.16 <br />