Laserfiche WebLink
G;�d P of-77/z <br /> ~ SAN JOAQUIN OY PUBLIC HEALTH SERVICES - ENVIRONMENTAL NO DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> NEW FACILITY CHANGE OF OWNER DATE Of OMER CHANGE / /_ INACTIVE <br /> Prior owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / /__ DELETE <br /> CWNER FILE <br /> OWNER ID I/(�/ ,,.,c�)�i tij•-�V� �y�I A CASE M BILLING PARTY Y / N <br /> OWNER NAME e L �� C--11'�N OWNER HOME PHONE ( ) <br /> OWNER OSA lcoOI'-knuo D OWNER WRK/BUS PH (7c 1 )5 C 1 1• zlog� <br /> ADDRESS 'Z59, \ 0 ��L'W A 2 <br /> CITY POrJ _ STATE ZIP �73h(, <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID X G��� �� BILLING PARTY <br /> �1 u � 0 OF EMPLOYEES <br /> FACILITY NAME CIS Ofi �I�IJ l -•P `/p,.�� �L"-D TRUST LANDS? Y / H <br /> 112155 1 <br /> FACILITY ADDRESS M .1 �PC1 �L-I HOME PH <br /> ` <br /> CROSS STREET BUSH PH <br /> / 21og <br /> CITY �1PorJ STATE CA ZIP <br /> SOS Dist Location Code City Code •--- <br /> Cens/u/s •--^p"I"" 1 11 �I <br /> MAILING ADDRESS \L\�� 'y4�-y- 7�V A "I,(\ �.M APN x <br /> CARE OF L��J (� I� i`—I `y�' L� �1 IA e) MK F�A 01�(� SZIC CODE <br /> CITY ISI Por t _ STATE Ur ZIP J��O <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME HOME PHONE ( > <br /> ( ) <br /> MAILING ADDRESS BUSH PHONE <br /> CARE OF <br /> CITY STATE ZIP <br />