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r SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL His DIVISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OUNFAC) Revis 5/14/93 <br /> r <br /> NEW FACILITY CHANGE OF OWNER DATE OF OMER CHANGE / 1 INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OWNER ID Xtof, L,COI CASE R BILLING PARTY / N <br /> OWNER NAME OWNER HONE PHONE ( ) - <br /> OWNER DBA kk4k.�O OWNER WRK/BUS PH <br /> ADDRESS 1 i4� <br /> CITYSTATE ZIP GISaa�o <br /> MAILING ADDRESS <br /> CARE OF <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> FACILITY ID N BILLING PARTY Y / H <br /> FACILITY WAIS <br /> U lie .� 0 OF EMPLOYEES <br /> TRUST LANDS? Y / H <br /> FACILITY ADORE HOME PH ( } <br /> CROSS STREET BUSH PH <br /> CITY STATE ZIP <br /> Census ------- SOS Dist Location Code City Code ---------- <br /> MAILING ADDRESS ADH <br /> CARE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS OWE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME T'( OF 5G�1W?� _ ^� HOME PHONE ( ) <br /> MAILING ADDRESS ��O. � '7- <br /> BUSH PHONE ( 42 <br /> 6A" OFM AITK: CLAS %f 1�Mete Page I(M <br /> CITY ESCA Dr`-' STATE tel_' ZIP 5azo <br />