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SAN UOAQUTN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <br /> MASTERFILE RECORD INFORMATION FORM <br /> EA O1 15 (OWNFAC) Revis 9/26/93 <br /> NEW FACILITY CHANGE OF OWNER y DATE OF OWNER CHARGE / /— INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION GRANGE OF BILLING DATE OF HILLR7G CRA[i;E <br /> / /_ DELETE <br /> OWNER FILE� 4 <br /> CASE # BILLING PARTY Y N <br /> OWNER ID <br /> OWNER NAME Kuw LPI'{ JAr4.b 'l Iu)AGHNC RNa MchiZEG FAM)l.•I OWNER HGME PHONE <br /> OWNER WRK/BUS PH ( 2,10)T•1-0•—L_ <br /> OWNER DBA pp - <br /> OWNER ADDRESS L4niC^.�r OcCA1J <br /> STATE CA ZIP TORO 7 <br /> OWNER CITY <br /> MAILING ADDRESS - <br /> CARE OF <br /> .. <br /> CITY STATE ZIP <br /> ' <br /> BUSINESS CODE NATURE OF OWNER BUSINESS Lft�.11)LOR-D <br /> . FACILITY FILE <br /> BILLING PARTY Y / N <br /> FACILITY ID # y <br /> . # OF EMPLOYEES <br /> FACILITY NAME 'f�C JPPC L L�raa I C�QM11�A1__ TRUST.LANDS? Y / N <br /> ... <br /> ROME PB (�) <br /> FACILITY ADDRESS <br /> - <br /> - cross STREET <br /> tntTJ a �+ BDSN PB .(�i - <br /> ;�Tc�c c`Ur{ srATE cA- zip c1ci201 <br /> _ . Location Code City Code <br /> CensOs __ HOB Dist . . . <br /> APN # <br /> ! MAILING ADDRESS - <br /> SIC CODE <br /> CARE SOF <br /> STATE ZIP <br /> - GENERAL TYPE Of BUSINESS at this FACILITY PWLl< �Mm�(71T\t G �j 1 O2A GIt <br /> . BUSINESS CODE 805INES5 TYPE (DST) <br /> UST FACSTATUS CODE <br /> THIRD PARTY BILLING INFORMATION 1 „ <br /> HOME PHONE ( ) <br /> NAME <br /> BUSK PHONE l ) <br /> MAILING ADDRESS - <br />