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SAN JOAQUIN CUT PUBLIC HEALTH SERVICES - ENVIRONMENTAL HU DIVISION <br /> HASTERFILE RECORD 1NFOWATION FORM EN 01 15 (WNFAC) Revis 5/16/93 <br /> NEW FACILITY CHANGE OF OWNER DATE OF OWNER CHANGE �� / INACTIVe <br /> Prior Orswr <br /> UNDER CONSTRUCTION CHANGE OF BILLING DATE OF BILLING CHANGE / / DELETE <br /> OWNER FILE <br /> OW7_EgI <br /> 0 CASE 11 AEBLING PARTY Y / 11 <br /> OWNER NAME �I 1 �+� �� r U �" If MNER HOME PHONE C�)63Y <br /> MNER DBA / [` _ O MER VRIC/BUS PH { ) <br /> ADDRESS ! 67/� �5 as CJ/ t Q/ <br /> CITY sC l G A STATE ZIp /J -3 <br /> HAILING ADDRESS <br /> NT <br /> CARE OF _.._.__ .� RECEIVE - - <br /> CATV STATE ZIP ARR 0 Ir 1994 <br /> SAN jO7T <br /> QMIN COUNTY- <br /> PUBLIC HEALTH SERVICES - <br /> BUSIRESS CODE NATURE OF DiAIER BUSINESS � H <br /> FACILITY FILE <br /> FAC[LITY ID # BILLING PARTY Y / - B <br /> 0 OF EMPLOYEES <br /> FACILITY NAME TRUST LAMM Y / H ' <br /> FACILITY ADDRESS HOHE PN < ) ' <br /> CROSS STREET BUSH PH <br /> CITY STATE ZIP <br /> a <br /> Cenwa -- BOS Dist location Cade City Code. <br /> HAILING ADDRESS APR A <br /> GRE OF " SIC CODE <br /> CITY STATE ZIp `" <br /> GENERAL TYPE of BUSINESS at this FACILITY - - <br /> UST FAC S'A-,M -=E BUSINESS CCDE BUSINESS TYPE NST) <br /> THIRD--PARTY BILLING_INFORMATION , <br /> NA14E it�.:.c� /'1_ �r5� � HOME PHONE �� ) <br /> HAILING ADORES$ _� � -/Y1 t- � BUSH PHONE ( )' <br /> CARE OF Page AOA <br /> CITY STATE -ZIP <br /> 4N, <br />