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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HL DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 5/14/93 <br /> NEW FACILITY _ CHANGE OF OWNER DATE OF OWNER CHANGE / / INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OWNER ID a / CASE # BILLING PARTY Ly <br /> / N <br /> OWNER NAME OWNER HOME PHONE ( ) <br /> OWNER OBA r� I ;� OWNER WRK/BUS PH <br /> ADDRESS --22,3 <br /> CITY s� ;�_s\ Y� STATE ZIP -I 62,1 <br /> MAILING ADDRESS >IA <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID # - � BILLING PARTY Y / N <br /> JJ # OF EMPLOYEES <br /> FACILITY NAME /l� TRUST LANDS? Y / N <br /> FACILITY ADDRESS HOME PH ( ) <br /> CROSS STREET BUSN PH ( ) <br /> CITY STATE ZIP <br /> Census --------- BOS Dist Location Code City Code ----------- <br /> MAILING ADDRESS APN # <br /> CARE OF SIC CODE <br /> CITY 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 /> NAME HOME PHONE ( ) <br /> MAILING ADDRESS BUSN PHONE ( ) <br /> CARE OF <br /> CITY STATE ZIP <br />