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SAN JOAOUPXWTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL16-TH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (WNFAC) Revis 5/14/93 <br /> ':W FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE / /_ INACTIVE <br /> Prior Omer <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / /_ DELETE <br /> OWNER FILE <br /> CASE # BILLING PARTY <br /> OWNER NAME L� `� �n' OWNER HOME PHONE ( ) <br /> OWNER DBA I Y�000- OWNER NRK/BUS PH ( ) <br /> ADDRESS I •>.{ � �_�. - ._,J( �l � L C; -_. <br /> CITY �. � ?,, I STATE ��,� ZIP / <br /> MAILING ADDRESS I� lj_L, C(.,�IX I% �.Y� '5Ii`�/-E <br /> CARE OF /V�r �{ -- <br /> CITY ��'lti { 1V.. U� STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> I FACILITY FILE <br /> p fACIIITY ID # ' ` BILLING PARTY Y / N <br /> 0 OF <br /> FACILITY NAME Uno Cal Eul K .i�CL� •� TRUSTE LANDS?IY / N <br /> FACILITY ADDRESS 6 2 V I V 1�, 1 V est HOME PH ( ) <br /> CROSS STREET BUSN PH ( ) <br /> CITY STATE CA ZIP ✓��� II <br /> CensusI ---•-^-- I BOS Dist I L=ati on Code I I City Code I----•••••-- I <br /> MAILING ADDRESS APN # 25U- 14U- U,� <br /> CARE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CO OE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME HOME PHONE ( ) <br /> NAILING ADDRESS BUSH PHONE ( ) <br /> CARE OF <br /> CITY STATE ZIP <br />