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SAM JOAOUIM COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL MEAL.4 DIVISION <br /> NASTERFILE RECORD INFOR11AT10N Fath EN 01 15 COWNFAC) Ravi$ S/14/93 <br /> NEU FACILITY CHANOff Of OWNER DATE Of OWNER CHANGE / / INACTIVE <br /> Prior Oar <br /> UNDER CONSTRUCTION CfUMGE OF BILLING DATE OF BILLING CHANGE _/ / DELETE <br /> OWNER FILE <br /> OWNER ID CASE ii BILLING PARTY Y / M <br /> OWNER NAME _PCT+-� G�5 `IUB DIV I�)G.JS lh I� L OWNER HOME PHONE ( -LL) �-=-� <br /> OWNER OBA /' OWMER VRK/BUS�PN (51 <br /> ADDRESS (A) Is <br /> CITY WaJAu / l I^ee- STATE ZIP <br /> NAILING ADDRESS L 1'l <br /> CARE OF <br /> CITY U1 tST�ATE ClZIP CO � <br /> BUSINESS CODE NATURE OF OWNER BUSINESS 1 C I \l C M P A AJ <br /> FACILITY FILE <br /> iACILITY ID ! BILLING PARTY Y / M <br /> ! OF EMPLOYEES <br /> FAC I L 1 TY NAME PG+r: L,¢ yr1 AG 6 H`/nM-?")/L S 10 ) TRUST LANDS? Y /�1 <br /> (11G <br /> FACILITY <br /> ADDRESS <br /> Co�L��ti r�F -(A��NGY Ra�q� HONE PH <br /> iACILlTY ADDRESS n� <br /> CROSS STREET LO-)07 9(-VZ) BUSN PH ( ) LOIA <br /> CITY L�7k STATE ZIP <br /> Census --------- SOS Dist Location Code City Code ---------- <br /> NAILING ADDRESS Q 0 APN ! <br /> CARE OF G (SO S S u AaS I SIC CODE <br /> CITY IA)a 4Ut C,t cf=k STATE C!1 ZIP yg5l O -z /l I / <br /> GENERAL TYPE of BUSINESS at this FACILITY AJO+u�( 6(15 beAR—o4I1 C/�,S�k4r1b � <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME HOME PHONE ( ) <br /> NAILING ADDRESS BUSH PHONE ( Y <br /> CARE Of Page IOA <br /> CI1Y STATE ZIP <br />