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SAN JOAQUIN COUA PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEAL1.--:VISION <br /> MASTERFILE RECORD INFORMATION FORM EH 01 15 (OWNFAC) Revis 8/26/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE / / INACTIVE <br /> Prior Owner <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OWNER ID Z CASE 0 BILLING PARTYY / N <br /> OWNER NAME C/O T- OWNER HCW PHONE 71'x/p <br /> OWNER DBA / Q �Q OWNER WRX/BUS PH C ) <br /> OWNER ADDRESS (D Q (1411- <br /> OWNER CITY STATE ZIP <br /> MAILING ADDRESS -,5A--,4 <br /> CARE OF vV <br /> CITY STATE ZIP <br /> BUSINESS CODE NATURE OF OWNER BUSINESS <br /> FACILITY FILE <br /> =FACILITYID # /�D BILLING PARTY Y / N <br /> # OF EMPLOYEES <br /> FACILITY NAME 4/ ` �y TRUST LANDS? Y / it <br /> FACILITY ADDRESS ` �" PAC ' NOME PH <br /> CROSS STREET �I V BUSN PH C ) <br /> CITY N STATE ZIP <br /> Census --------- 130S Dist Location Cone © City Code ------ <br /> MAILING ADDRESS APN # LL,) -7 C ' ��~ /q <br /> CARE OF SIC CODE <br /> CITY STATE ZIP <br /> GENERAL TYPE of BUSINESS at this FACILITY <br /> UST FAC STATUS CODE BUSINESS CODE BUSINESS TYPE (UST) <br /> THIRD PARTY BILLING INFORMATION <br /> NAME HOME PHONE ( > <br /> MAILING ADDRESS 3USN PHONE < J <br /> CARE OF <br /> CITY STATE ZIP <br />