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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRCNMENTAL HEALTH OIVISICN <br /> NASTERFILE RECORD INFORMATION FORM EN 01 15 (WNFAC) Reis 5/14M <br /> NEW FACILITY CHANGE OF WNER DATE OF OWNER CHANGE INACTIVE <br /> Prior O� <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE _J /_ DELETE <br /> CUMER FILE <br /> OWNER ID 1 c I GSE f BILLING PARTY Y / N <br /> OWNER NAME 1 cap 5c N - 1...'COSS �N J(zS+ Vle.i,,A cc) WNER HOME PHONE ( ) <br /> OWNER DBA 1 OWER VRX/8WS PH ( ) <br /> ADDRESS I L 0 1 r�Q N �ar,�v -7-_ <br /> tj <br /> CITY rhGlA rd � STATE CA ZIP <br /> NAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID t ,l - BILLING PARTY T / N <br /> If OF EMPLOYEES <br /> FACILITY NAME �(CL N SO A..) -// /C (rp SS p TRUST Lam Y / N <br /> FACILITY ADDRESS S-61� ri Q r l a N eo a ci�/ mom PH ( ) <br /> r <br /> CROSS STREET BUSH PH ( ) <br /> CITY Y6 STATE �'. A ZIP <br /> CarNwa ^....... BCS Dist Location Coda I _ City COok ---------- <br /> MAILING ADDRESS APN x <br /> GRE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY U jqe- <br /> UST FAC STATUS CODE I BUSINESS CODE BUSINESS TYPE (UST) <br /> T141RD PARTY 9TLLiNG INFORMATION <br /> NAME ANS U 1 ro/J IVU e A� ( l_C)r p NOME PHONE ( ) <br /> .'AILING ADDRESS Up i/�� �N I qcc 6 Lie-(/c .�I a I/ BUSH PHONE (�Q�) � - <br /> CARE OF ('j-,-f-JtZr;t,e _�e-IU r I -- <br /> CITY Pe-7 _ ILS &. STATE C_ ZIP <br />