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CITY OF RIPON Fax:2095992685 May 18 2005 12:01 P. 01 <br /> 6/18/2005 12:45 9259442859 TSG PAGE 01 <br /> San Joaquin Colllnty Environmental Health Department <br /> MASTER FILE RECORD INFURMATIoN "MFR" drRlErN FORM <br /> QNN�h 10a 3 D Cw9e 1r UNIT IV <br /> OWNIFX FILIE <br /> ER oACGllrtr OWNER LtAEua7LY4Yga[M7Tw fNQ <br /> rkmitrr Owns WMM� <br /> MI Lag( <br /> WsrMlaal N11NN <br /> 5-SIC/TAX 1D of <br /> QMTK Home AddRlf 1�+�.7j �. Aw 1 � I.a �w..aw� ��'t LbCl1Vs!• >� <br /> C" <br /> r7rrrlr PlilMrep AEtlrea <br /> M.flino Abdrest c" M <br /> a�roll rmN❑ 1 rou+u pu,pelrRntr❑ ft Acow <br /> vn1E.❑ <br /> F'ACILMV F11,A <br /> PAtmtTY CD f g� CRDS6I111Es ID R AMU"to A jNlrti J <br /> 'IV <br /> TS this a NOWlueinem La"TzoN not pi tvloueiy regulated by the KlmptotfN"TAL I lMy"dEPARTMENrt Yta 13 No ❑ ) <br /> U this an EX SUP49 1114619iflM i., AYMN bat a II of TVw of rtqgbftd shallnluai \ <br /> tl9"U/Faaa*•/elrt NAME Yc„ C] No <br /> s <br /> Smt Awm= �J <br /> Um* fltlf tNEes pEteltl <br /> f]ry <br /> Srex m <br /> sodlr�0lSrM1RR�ttoMDtsrwa�T IAtr,mrlCkw! Klr1 <br /> rfBr2 <br /> Mnllinq Addrew 0rpp nfr tom AA%f Ad*rw AtlienElen;or cart Of/epotevu) <br /> MwUlry Addrg City <br /> ylan Ey <br /> SIC cow API111f CDINttlM*: <br /> Tw um PARR BILLING Marfa: CaTpkie Al'oilling Party k dyAtrent ftm PrDParty owner OrFar:{Ifty Operator dOE *djbow. <br /> il""W rUmr 714A� RAftr ato!arCom Of &Wgwwo <br /> iA1 <br /> NOW .•lam S�q ZI o <br /> syAn CA 1111 953 b( <br /> 41OW Adam q for ft"and chatgly pyyN FACIll1 I/BU4lNE$$ <br /> TNIRp PARTY gII,IJN® <br /> t,The andcrEipmd Apltlicaer,wrMly fh"I fm rk nlrarr.f*&gbw,or ANlk-104ARmt of Atit Suovw%rad s Eelatim. <br /> NARAGr,bNY11Vn,7tiy6NTCaAAyr MNd�01'/h)yMG t'CNAM.yi atANtltdtrtl wlrh A1Il operafifn will be 6dlctl M Mr At the E01rrem id tlflyd abet r,eht iedflr ife.thaIII mr r that <br /> df InfbtWAKM prow'"Aw Mir AppkaikM I/NO and rormcc.nd ihat all rtir.im"ArtiyiMta will be riff �for Ihla Elh, I alio arUry AEI <br /> SeradaNd 1 aed 4YATK ANeMr R1lOMetAt,IJw•r.d R A4eMmd, M the undtnl nl awn", R 'T11td ih aeefrdMet with Ji Applic/hU SAN)DAQUIN CMINIr1'0,M"MP Cllr.a Wtot <br /> "and III rnNin and MSI op4rrN Or EeM1 of'%c penirrry Mtaled nt br IharE rnetli►ytdirt Addrern i hereby utktl'44 the rcletar er <br /> 1R lnam.l IPAr!1.rthefl inlbrplNyNN M CAPI,IOAQIIIN COl'roTV CVVIi1ONNiPNTAL Hr.A1.TFl D6VndTMLNt M alpf at N 1 IV141 nad at ettc tam Nww II N <br /> P-0-14W APPIJ 1n mr a my r'p/eE0M1En.e. <br /> AI'pf,tGNT NAME A A PUASE Pturet <br /> SI6NATVaE <br /> TITLR <br /> CVT ttnl"r'Ef(,'i: DI MRT5 LICENSE P <br /> fM+oYocorrlyd umeDl <br /> AAAaMId ti Q� - . <br /> nlMh0 lmla ftmmnp conomd Mh <br /> E'1 tl4.007 Apti17S,apOp ��' a <br />