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SAN J'34CUIN COLAITY PUBLIC HEALTH SERVICES - ENVLROOKUTAL HEALTH DIVISION <br /> ` AASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Rev1e 5/16/9I <br /> =FACILITY CHANCE OF OWNER DATE OF OWNER CHANGE <br /> Prior owner '�"�^— INACTIVE <br /> CHANCE OF BILLING DATE OF BILLING CHANCE �Y1 <br /> --�f DELETE <br /> OWNER FILE <br /> OWMtER ID ! CASE � <br /> l BILLING PARTY Y N <br /> OWNER NAME OWNER HLktE PHONE C 20 465 5883 <br /> OWER DBA King Island Resort and Holiday Harbor 209 951 2169 <br /> OWN" YRK/BUS PH <br /> ADDRESS P.O. Box 7trt b <br /> cm STATE <br /> STATE CR ZIP 95201 -- <br /> NAILING ADDRESS P.O. Box 702 <br /> CARE OF Mr. Dan McDaniels <br /> CITY Stockton <br /> STATE GA ZIP 95201 <br /> BUSINESS CODE NATURE OF OWER BUSINESS <br /> FACILITY FILE <br /> FACILITY IDE 7171 BILLtNC PARTY Y / N <br /> P na A lif td Partnership, � ��01` EMPtvYEES 6 <br /> FACILITY NAI!!!; in sla etUST LANDS? Y <br /> FACILITY ADDRESS I153� W. Eight Mile Road ^ HOME PH (209 1 951-2..188 <br /> or <br /> CROSS STREET Atherton Road BUSH PH (209 )951 2169 <br /> CITY Stockton STATE CA Zip 9521.9 <br /> Census -••-- SIS Dist Location Cade city Code <br /> NAILING ADDRESS _ 14900 W. Hwy 12 APN 9069-090-30,071-190-06 <br /> 071-190-04,071-190-01 <br /> CARE OF Tower Park Farina SIC CODE 6.52() / 4493 <br /> CITY Lodi STATE CA ZIP 95242 <br /> GENERAL TYPE of BUSINESS at this FACILITY Mar na Resort <br /> LIST FAC STATUS CODE BUSINESS CODE ss$l)(t6 (UST) <br /> THIRD PARTY BILLING INFORMATICM <br /> NAME HCKE PHONE <br /> RAILING ADDRESS <br /> ONE,, C ) <br /> CARE OF P f/ytaC fIOA <br /> CITY 'S STATE ZIP °? <br />