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SAN 1OAOUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL NEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EN 01 15 CQNFAC) Bevis S/1iJ93 <br /> REV FACILITY CHANGE OF WHER DATE OF WHER CHARGE 1 INACTIVE <br /> Prior Owner <br /> 4ER CONSTRUCTION OF BILLING DATE OF BILLING CHARGEf� / DELETE <br /> UN <br /> OMER FILE <br /> OWNER ID I CASE t BILLING PARTY <br /> WHER NAME OYIIER HOME PHONE C ) <br /> MMER DBA 06WER tiIR1 M S PH ( . <br /> ADDRESS Z, <br /> ---- <br /> CITY STATE CYT ZIP <br /> NAILING ADORES$ <br /> CARE OF <br /> CITY STATE,, / ZIP <br /> BUSINESS CODE NATURE Of Od1ER BUSINESS �6fZL(R <br /> FACILITY FILE <br /> FACILITY ID R BILLING PARTY T / Y <br /> 0 Of EMPLOYEES <br /> FACILITY MAKE /- TRUST LA)MM Y / Y <br /> FACILITY ADDRESS _ I(��D s//J�L�LL/ _ __--- -_ __ Hm PN ( ) <br /> CROSS STREET BUSH PM ( <br /> /�5 ) <br /> CITY STATE _LJ� ZIP % ,3/� -- <br /> Census •----••-- Dist Location Code City Code �••--•_••_ <br /> MAILING ADDRESS APN R <br /> CARE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of 3USIYESS at phis FACILITY <br /> UST FAC STATUS CODE I SUSINESS CAE BUSINESS TYPE CUST) <br /> THIRD PARTY 3LLLING INFORNATTCN <br /> MAKE HOME PHOT€ ( ) <br /> 4ALLIMC ADDRESS BUSH PHONE C ) <br /> WE OF <br /> CITY r+,r STATE ZIP %NO <br />