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CH FILE RECORD INFORMATIOI)WHIVI <br /> V4 �S <br /> AC ty Prog/Sub Elem Covvum No. <br /> 10 1 A- 151 iF21 ko I o I d d dII E! = <br /> E . H . (assigned by clerk) <br /> P/S . E , Local ComP . Number Su Dist , Location Code Fee Ex® <br /> ZZ I PIA IM 1 <br /> 0 <br /> M_-3L;2�- 1 0C) 1. <br /> Previous Camp, Numacn Effective owe Other Program Activity <br /> SITE NAME (30 chwacto(a=DA M- ) <br /> EM0'5T H'S A:-mnO <br /> SITE Address (no./Dir/Street/Suffix/Suite) Site City/State/Zi <br /> 4-S W . AcAclCR <br /> PREVIOUS DDA <br /> Billing �1,jme <br /> Billing ,Address (No/Dir/Street/Suffix/Suite) Billing, City/State/Zip <br /> .� CHC 119 <br /> 1+14 <br /> 6^�1 alto �?E �Et.kho4r.�Nc1s.7C1Ei§ <br /> r unit <br /> ()WNER NAME (30 0W OCte(3) . <br /> 1 <br /> a,INER Address (No./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> E:!� -- W 5Qcj+-,,-mk1. CA �52,L-n <br /> SPECIAL PROGRAM IHFOR,'VTION No.of S4rv4cA Source of Treatment Population <br /> Connections Supply Typt Served <br /> Rdc, healthL_Lj <br /> �rlater <br /> ADDITIONAL COMMENTS : <br /> San, Sup® AC S, <br /> Ell 01 15 <br />