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MAOEH FILE RECORD INFORMATIO*HM <br /> SWEEPS <br /> nno, Uum y P r o g/Sub E l e m Camouur No. t .,tv <br /> © 3 q 71010jj- g <br /> E .H . (assigned by clerk) <br /> P/S . E . Local Comp . Number Su Dist . Location Code Fee Ex. <br /> F � �j 01 HI d Ll1I I I I0 [012 <br /> Previous Comp. NUMDER Effective oats Other Program Activity <br /> SITE NAME (00 choraclots) <br /> EM - N (--) Iz 37p, C , J <br /> SITE Address (no./Dir/Street/Suffix/Suite) Site City/State/Zi <br /> 11 S _`> C( cra. V1 <br /> EPA # C �IDo999 �9qd <br /> PREVIOUS DBA <br /> Billing flame _ <br /> Billing .Address (No/Dir/Street/Suffix/Suite) Billing- City/State/Zip <br /> EST SIZE SITE TELEPtrOrE MJMUR <br /> Sq. <br /> OWNER NAME (00 charxte(a) . <br /> OWNER Address (14o./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> SPECIAL PROGRAM lHFOR:IATION No.of Service Source of Treatment Population <br /> rsnnettlom Se+Ddv Type Served <br /> �Rec. Health Water m <br /> ADDITIONAL COMMENTS : <br /> San. Sup. AC SC <br /> n n � <br />