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MASS ' FILE RECORD INFORMATION Fr A ' <br /> Action Counly Proqram <br /> Cmptlor No. <br /> U, nr <br /> A 3 „ <br /> r►. (assigned by clerk) <br /> Local Comc. No. Sup/Dist. Location Code Fou Anrount/o, Curk <br /> O x Felel___1�Ex. <br /> C C I <br /> Previous Camp. NUMBER Effective Bale <br /> Other Program Activity <br /> -=D= <br /> SITE NAME(30 cha(acters) <br /> A <br /> ATE Address (no./(sir/Street/Suffix/Suite) Site City/State/Zi <br /> PREVIOUS DBA <br /> Billing Blame <br /> Billing .Address ( o/Dir/Street/Suffix/Suite) Billing- City/State/Zip <br /> Proqram El&mni EST SIZE SITE TELEPHONE NUM©EN <br /> L— �J q Seats N<. <br /> CT <br /> 3 S o Sq. Ft. <br /> q Units <br /> OWNER NAME(00 characters) . <br /> OWNER Address (No./Dir/Street/Suffix/Suite) !��D�fnerCity�/State/�Zip � <br /> SPECIAL PROGRAM INFORMATION <br /> Rec. Health <br /> No. of service Source of Treatment Population <br /> Program Element Connections SuprAy <br /> Type <br /> m <br /> (( Served <br /> Water 4 6 <br /> San. Sup. �(A��CC WE FA... F1l�I .J <br />