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MAt -i FILE RECORD INFORMATION F `iM <br /> SWEEP] / C <br /> ^c l oon County P r o g/Sub E l e m cmputw No. <br /> 4 s s <br /> FOTOTO 0 � 07 g31 <br /> E . H . (assigned by clerk) <br /> P/S . E . Local Com . Number Su Dist . Location CodeFee Ex. <br /> 2E 1312-1 / Is ] ol � � <br /> a�.l_._i Ej <br /> Previous Camp. tiuMoc.n Effective oate Other Program Activity <br /> SITE (NAME (30 chwaclora) <br /> 5 L. <br /> SrTE Address (no./Vir/Street/Suffix/Suite) Site City/State/Zip <br /> 3/6 <br /> PREVIOUS ODA <br /> Bi l l i nh rlIme ze <br /> Billing ,Address (No/Dir/Street/Suffix/Suite) Billiny City/State/Zip <br /> ESi SJ2E SITE TELti`►sCw.t Nt 40E,4 <br /> !� $Cdtri N!A t <br /> S% Fts / S <br /> t <br /> OWNER NWE (30 chyxtera) . <br /> ONNER Address (Jio./Dir/Street/Suffix/Suite) 04ner City/State/Zip <br /> SPECIAL PROGRAM IHFORtt�T ON No.of S.rvlcw Source of Treatment Popuistion <br /> Co n ntctl ont Supply T y pt Served <br /> Rdc. HealthL] <br /> L�Jaer <br /> ADDITIONAL COMMENTS : <br /> EII 01 15 <br /> San. Sup, � ACSC <br /> +�B <br /> , ��� ID- <br /> l� <br />