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MASTEDPILE HECORD INFORMATION FG' <br />SIDEE"P��_ — <br />^e' O q t ri�"r 0 g /Sub E 1 e m" Caepuaw No. <br />0 3 E236 0 <br />E.H, (assigned b clerk <br />P/ S. E. ��------ ( 9 Y ) <br />LOCdI Cmm� NnmhaV. <br />r. +tet I e R a <br />Previous Camp. NuMoen <br />SITE NAME (30 ctwaclore <br />Sun/DISt. <br />0 3y <br />Effective oats <br />D �o/ T7 <br />SITEAddress (rio./Dir/Street/Suffix/Suite) Site City/State/Zi <br />� JA <br />FPS- LG>� <br />PREVIOUS DOA <br />8i 11 inq fame <br />S Gw�ti a S <br />Location Code Fee Ex <br />ELI 17 <br />Other Program Activity <br />di n ing .Address (No/Dir/Street/Suffix/Suite) Billing* City/State/Zip <br />g I 1 mid twit; <br />`to q, 0 ToAIS <br />EST S+ZE <br />/ Seats <br />Sq. Ft. <br />/ Units <br />OwNEn NAME (00 crwocw3) . <br />WE TElEhtpf MA40EN <br />M(A L <br />OWNEn Address (llo./Dir/Street/Suffix/Suite) Avner City/State/Zi <br />SPECIAL PROGRAM IHFORAATION No. of S4Mci source of Treatment <br />F;conrxclomr supply Type <br />R�=c. Ilealth 4Jater <br />ADDITIONAL COMMENTS: <br />EH 01 15 <br />(S�a, <br />114/1 <br />Sup. <br />'1 V <br />Population <br />Served <br />