Laserfiche WebLink
SAN JOAQUIN OTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HON DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (WNFAC) Revis 5/14/93 <br /> ;UNDER <br /> FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE INACTIVE <br /> Prior Curer <br /> CONSTRUCTION CHANCE OF BILLING DATE OF BILLING CHANGE / /__ DELETE <br /> OWNER FILE <br /> OWNER SD ,,1�1a �/ CASE #U BILLING PARTY <br /> OWNER NAME /✓1AI L,--/ COOL/AIG TOUIEQ. CO/�0 / OWNER HOME PHONE ( 1V9 )_g• 3yS l <br /> OUNER D8A $AMC' AS AdDvC— OWNER WRK/BUS PH ( ) <br /> ADDRESS _ISO IVS/i162G4I2. 4V6 <br /> . / STATE ZIP 9sz OS <br /> CITY STOGIGTCA <br /> MAILING ADDRESS 0C) FOxp-06 E DGZ <br /> CARE OF 7;>,4 V& 6- /gTaS <br /> CITY MISS/p/L/ STATEPOS4"�ZIP <br /> BUSINESS CODE <br /> NATURE OF OWNER BUSINESS TOWeA fW641(ATIll <br /> FACILITY FILE <br /> FACILITY ID # BILLING PARTY Y / N <br /> # OF EMPLOYEES <br /> FACILITY NAME <br /> COOL/A)(4 7-3W Q CoMPAN% TRUST LANDS? Y / N <br /> ,n�// �} <br /> FACILITY ADDRESS 1Jrr ry <br /> 0 • 5IN CZ414 ""� HOME PH ( ) <br /> BUSH PH <br /> CROSS STREET <br /> CITY 57 OGK 74AJ STATE O—A- ZIP 9S�d5 <br /> Census •--^---- <br /> SOS Dist Location Code City Code ------^-- <br /> MAILING ADDRESS -�g(7 C) 1APR # <br /> CARE OF .KIVr BF3 TE-5' _ SIC CODE <br /> CITY MISS/ON STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> HCME PHONE ( ) <br /> NAME <br /> BUSN PHONE C ) <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br />