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MAST , FILE HEGOHD INFORMATION FC�"M <br /> Acuon County Program Cornputul No. 11. r1r <br /> © 3 � NM 00ll � I �,oz <br /> (assigned by clerk) <br /> Local Como. No. SUP/Dist. La.jl"i Code Fou An Kuunl/or Curti Fee Ex. <br /> SF- ' 7 ? o= <br /> Previous Comp. NUMOER Effective Dale Other Program Activity <br /> SITE NAME (30 ctuuacle(e) <br /> MATA-&A oau Iacl C/ <br /> SITE Address (no./(sir/St eet/Suffix/Suite) Site City/State/Zi <br /> PREVIOUS DBA <br /> Billinci dame <br /> Svc <br /> Billing .Address (No/Dir/Street/Suffix/Suite) Billing- City/State/Zip <br /> _ u_ x 24 Lobi 11 cA 5s2- yl <br /> Program Element ESI SIZE SITE TELEPtgNE NUMBER <br /> ��� M Seats wK. <br /> L N9Units Z 3 3 <br /> 71 <br /> OWNER NAME (30 characters) . <br /> OWNER Address (No./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> 0 KO'f a � C/ <br /> SPECIAL PROGRAM Iii RIlATION <br /> Ilse <br /> Rec. Health <br /> No. of Service Source of Treatment Population <br /> Program Elemmt Connections Supply Type <br /> m Served <br /> Water 4 6FM <br /> I I <br /> I/�Saann,.. Sup. AC SC <br /> F 1... Fes' 1-1 ® I�/ <br />