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MA&' ILE RECORD INFORMATION 10 <br /> E7 <br /> SW <br /> ^c'pn County P r o g/Sub E l e m Computes No. Raw <br /> E . H , (assigned by clerk) <br /> P/S . E . Local Comp . Number Su Dist . Location CodeFec Ex. <br /> P. � � � � 03 7 F�- I <br /> Previous Camp. NuMDEn Effective oate Other Program Activity <br /> SITE w1ME (30 charactor%) <br /> -Do PQ at'-Fn rn ( c- i-=i, <br /> SITE Address (no:/Dir/Street/Suffix/Suite) Site City/State/Zi <br /> �q q S Qk-a vl I-ct- S L CX-Y) e_ I 5 <br /> PREVIOUS DOA EPA 0A D'M 3$ 8 '3 77 <br /> Billing dame _ <br /> L_ Sa p Le a 5 "o V e- <br /> dilling Address (No/Dir/Stre Suffix/Suite) Dillina' City/State/Zip _ <br /> ESI >t2E SITE TCLLhIO�.f"40Ef9 <br /> 1 Seats <br /> IryUnits <br /> O WNEn FUME l00 06VaeW31 . ! <br /> OWNER Address (No ./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> SPECIAL PROGRAM INFOR.'IATION No, of Servlei Source of Trutment Population <br /> T�Coonine�ctito�n%% SuPdv ff�TTypepee �TServed <br /> �1 <br /> Rec. Health 4latet� i I I� I I I I I I I <br /> ADDITIONAL COMMENTS : <br /> San. Sup. AC SC <br /> EII 01 15 El El �� <br />