Laserfiche WebLink
M Aj AS <br /> FILE RECORD INFORMATION <br /> SWEEPS <br /> AcIK)n CQVnlY Prog/Sub Elem EE= UDIE lo.,tor <br /> r J,.,, w0 e10e. <br /> 7 <br /> i—E 06 05- <br /> L- <br /> E . H . (assigned by clerk) <br /> P/S . E . Local Com . Number Sup/D-1 S t . location Codefte Ex. <br /> EEZ I r"I`T ac) Ld [E5 <br /> 0 <br /> Previous Camp. Numom Effective oate Other Program Activity <br /> SITE NAME 100 chwactaea) <br /> SATE Address (no./Cir/Street/Suffix/Suite) Site City/State/Zi <br /> i CA - <br /> PREVIOUS aaa <br /> Billing NAme <br /> 5 0 <br /> dining Address (NO/Dir/Street/Suffix/Suite) Billtnq' City/State/Zip <br /> L 5 -q- F 1i e,9I o, L - A_ a <br /> 1 /1 L�j <br /> t:St t4ZE SJTE TELJEPt :E"WV4 <br /> ® -0 n I Seats Nca�i <br /> Sq. Ft. <br /> OWNUnit <br /> ER RAM E (30 chvactcra) . <br /> 4wNERAddress (t40./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> SPECIAL PROGRAM INFOR,,11ATION No.of rvlc® Source of Treatment Population <br /> n_ cllont Supply Type Served <br /> Rdc. Ileal th bJa ter <br /> ADDITIONAL COMMENTS : <br /> San. Sup. AC aC <br /> EII 01 15 1:1 El [—E—+ <br />