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San Joaquin County Environmental Health De•ment <br /> DATE MASTER FILE RECORD INFORMATION"MFR" GREENFORM <br /> SITE MITIGATION$LOP <br /> a---�— � °""`"'D• <br /> CASE 0 UNIT IV <br /> OWNERFILE:OOMPLETEINEFOLLOWNGPROPERTYOWNER/N1�FORMA770N.' CHEDYFOWNERcuAwewa,ownJewnwBND <br /> PamEnn Owxee NAre ✓!r Si/f� w,,hjpr (+�o� 1y1 -000 7 <br /> Fbsf Ae <br /> HUNKES[Now, _ - by Pe ENUMPEp <br /> EwwLADDxEm <br /> OM NS Adds <br /> DHy <br /> STATE LP <br /> Ow,,Mr MSNing AtldrMY <br /> Melling AddmS Oft J6a7 <br /> CIMIPOAAnOw❑ Ixowmuy.❑ PaA miniaMP❑ <br /> Fm ADExCT❑ OTNER� <br /> SRH Minn"""_ENVIRONMWFrAL AeHHHeMHNT_VOUNrrAll GUfAWJP_WAiHR QUALM HW MpHLINH INVKMT Tjee,_LOP_ <br /> FAGLnY IDS Ixvd Aeeodar ID PRNROa <br /> PACKM F"A Co`m*-n57/5f0ct0WrNO BUSINEss r FACIUTWYIWE/nFwpirnno�v.• �` �`�"l�L ;�• - .:/ <br /> Is this 0 NEW Buelneas LOGTION not PA Y regulated by the ENVIRONMENTAL HEALTN DEPARTMENT? VES ❑ NO <br /> Is this en FJdsiwm Bualneea LOCATION but a NEwTYpe or Pegulated Bualnem? <br /> abslNEaaIFADany/SRE NAME YE9 ❑ No (� <br /> SITE ADoA[ae (6 <br /> r� �ll r(J t{h Wf(, aurEB BuaixEne Pxoxe <br /> Cm <br /> 4c < �, ATE aP q5io <br /> BDN,,D Of au.raaMaa DMnem LSaATIOM CDPE <br /> KEM KEY2 <br /> Makin MgFFF <br /> Ah <br /> Am,n <br /> L RI(, t S ANantlen:eromm or(.pbW o <br /> f <br /> Mailing Address Oity <br /> r <br /> smcPe[ e0, 60)( tr Q 1 „`i(ylo SLATE ap ��� <br /> APN1 ConeBrr: <br /> TNIND PAMrr B LILWO INFO: Complete K BINIn Party la diRererrt from Pro rty OtNnar orFaollity Operator ldentiAed above. <br /> BUS.Emi NAME /� goapnal� r <br /> ManinB ArklrOte dS G �11c, e( pN} Q� AtfMtlen�er w0�1 �I'ICrG Gk IG , <br /> g0 I P 9�5 21S-3�o <br /> Cm uh Q.eZhJOh SYAi£ aP <br /> q Y58 <br /> rOr res.and Dhayw OWNER FA nji-y/BUSINESS <br /> abvnn xn C .- - TNIRD PARTY BILIJNc <br /> A I,W andenJPN Appdwnt¢wl%Wt I sm dw Owno, <br /> PeAICT2e,EwrOArywrwr Gbaea<aPNwHauA[eGUAeLi awxbnd»iM dh Ornuw.wAAetorJrrd A;rur of tbb Bml¢w,ami wbexkdra tea,,an Pe Ferr. <br /> warmatlen P+andetl ee Wb aPpncatlovh true am mraah am W„as eperma”trip de SldMbvx Mtlx addrneldratliktl aWn as he AGYOVXTADDA�r(w Udtdm labs¢rtl%WtaO <br /> Sbmarda Sad STATf and/or Ft'.DeAAL Lewa am R rertleke actlWtln Md fM performm in AeeaMan¢,.bh dl ypllubk Sruv JOAQU¢I CD I,Ordiwece Cetln amlw <br /> gWatlow. 1.SAN <br /> opent¢r.w areM of,,b prgwr%looted at Wr alwve hdtl h mdrtn•I k.bYaetlortn,,[e rNeawM <br /> P am as rnalb Sed enWranmrnbl nwunxnt iMermveMs is SAN JOAQUIN COUNTY MVIRONMEYTAL HP.t1.TH DEPARTMENT n n IJ vdeMe Am At W wme doe It k <br /> P¢vNN ro me w iaY rtprnenmdve ( <br /> APPLICANT NAME(Pt nPow) Sec91d jll9re3e tIG�l S NS <br /> TITLE �` 1 TAIIID4 <br /> Aaoroar0 Bab Adew omas <br /> BRewmaanox Deie7abd 8r Dib <br /> AYO11Ni PAla DAT[Oi PAYY4NT pAyMExr TYVa RECFJPr• <br /> FEe:f CwEOAA R¢oeneo aT M%oAX P.;fr[P'� . <br />