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SAN JOAOUINIONTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL OTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 8/26/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE _J / INACTIVE <br /> Prior Owner - , <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE _� /__�_ DELETE <br /> �a <br /> OWNER FILE <br /> OWNER ID CASE # BILLING PARTY Y / N <br /> OWNER NAME MMR HOFS PHONE C l ) <br /> OWNER DBA lC� /� OYNER YRXIBUS PH CBIS ) 77� <br /> OWNER ADDRESS _00 <br /> OWNER CITY // �iSTATE c ZIP /Ur/ <br /> MAILING ADDRESS <br /> r CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID # 47 BILLING PARTY Y j N: <br /> OF EMPLOYEES <br /> FACILITY NAME �/ (/�tTRUST LANDS? Y / N <br /> FACILITY ADDRESS ( DIJ� HOME PH C ) <br /> CROSS STREET ! Gl / BUSN PH C ) <br /> CITY L��/ STATE '` ZIP <br /> Census - BIS Dist Location Code City Code --- <br /> MAILING ADDRESS APk $ <br /> CARE OF SIC CODE <br /> i•''_A 4 .. <br /> STATE ZIP <br /> CITY <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> s.= <br /> LUST FAC'STATUS CODE <br /> BUSINESS CODE BUSINESS TYPE (UST) " <br /> THIRD PARTY BILLING INFORMATION <br /> NAME -� " C�� zoo HOME PHONE C ) - <br /> f <br /> MAILING ADDRESS Ovvv� /` BUSH PHONE _ 16 <br /> / r <br /> CARE OF !" s <br /> I <br /> CITY �UJ G ��. STATE �/ ( ZIP - r <br />