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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES - ENVIRONMENTAL HEALTH DIVISION <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 CASE # BILLING PARTY Y / N <br /> OWNER NAME Hanson Family PTP OWNER HOME PHONE <br /> OWNER DBA OWNER WRK/BUS PH ( 209 ) 835-4212 <br /> OWNER ADDRESS 1342 Lincoln <br /> OWNER CITY Tracy STATE C_ ZIP 95376 <br /> MAILING ADDRESS -- <br /> • <br /> • Oakland Branch #10 40717 <br /> CIVIC BANK OF COMMERCE <br /> Oakland, California <br /> GEOMATR1X <br /> 100 Pine Street,1 90-4095/1211 0th Floor CHECK NO. <br /> GEOMATRIX CONSULTANTS San Francisco,California 94111 4121717 <br /> Consulting Engineers and Geologists <br /> DATE AMOUNT <br /> Exactly THREE HUNDRED NINETY Dollars and 00 Cents <br /> 1215/E0/96 g�.$$$390. 00 <br /> PAY SAIq JOAQU I N COUNTY <br /> TO THE F'UBL I C HEALTH SE R V I CES <br /> a <br /> ORDER <br /> OF <br /> AUTHORIZED SIGNATURE <br /> IN 11 <br /> • • . • • . <br /> City Code I ---- ---I <br /> MAILING ADDRESS APN # 252-040-02 <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 /> I <br /> THIRD PARTY BILLING INFORMATION <br /> NAME Chevron Pipp I i nP ( ompiny HOME PHONE ( ) <br /> MAILING ADDRESS PkwVV_, Ri ghop Ranr j 2, San Rawn,_CA BUSN PHONE ( 510 ) 842 - 6877 <br /> CARE OF Ms Katie Hower <br /> CITY San Ramon, STATE CA ZIP 94583 <br />