Laserfiche WebLink
SAN JOAQUIN COL, - PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEA. —DIVISION <br /> ��KASTERFILE RECORD INFORMATION FORM EH 01 15 (CWWFAC) Revis 5/14/9; <br /> NEW FACILITY CHANCE OF OWNER DATE OF OWNER CHANCE / / INACTIVE <br /> Prior Caner <br /> IDER CONSTRUCTION CHANGE OF •ILLING DATE OF BILLING CHANCE / / DELETE <br /> OWNER FILE <br /> OWNER IO CASE 0 BILLING PARTY Y / N <br /> OWNER NAME _ Marian Mohr Fry OWNER HOME PHONE ( ) <br /> OWNER DBA Mohr-Fry Ranches OWNER WRK/BUS PH ( 209 > 334 - 3808 <br /> ADDRESS 12609 North West Lane <br /> CITY Lodi STATE _CA ZIP 95240 <br /> MAILING ADDRESS 12609 North West Lane <br /> CARE OF Mr . Jeryl Fry, Jr. <br /> CITY Lodi STATE CA ZIP 95240 <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> 1CILITY IO N BILLING PARTY Y ! N <br /> 0 OF EMPLOYEES 0 <br /> FACILITY NAME Not applicable (unoccupied) TRUST LANDS? Y / N <br /> FACILITY ADDRESS 950 Industrial Drive HOME PH ( ) <br /> CROSS STREET Airport Way BUSH PH ( ) <br /> CITY StocTrton_ STATE rA ZIP C)521 5 <br /> Census I •-- BOS Dist Location Code City Code <br /> MAILING ADDRESS ADDRESS Not applicable APN 0 <br /> CARE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY unoccUnied <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING TNFOR14ATTON <br /> NAME ('yi)regs Fnvi rnnmantal HCME PHONE ( Q(lR )7'17-7riQc+ <br /> MAILING ADORESS 111 West Evelyn Ave , Suite 30 BUSH PHONE ( 408 )774_6767 <br /> CARE OF Janet KappmP�ZPr <br /> CITY STATE CA ZIP 94086 <br />