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MP&Fi FILE HECOFZO INFORMATIO HM <br /> EITI <br /> ^"b Qxmly Pro® CampulwNO. 1Law <br /> 3 Z 2 <br /> E . H . (assigned by clerk) -- <br /> P/S . Loc umber Su Dist . Location CodeFee Ex. <br /> T 1 w VV 0 3z ( =1 ❑ <br /> Previous Camp, Nu Effective oaw Other Program Activity <br /> L O L b do I Z <br /> SITE KA <br /> A� <br /> SITE <br /> yddress (no./pir/Street/Suffix/Suite) Sittee �CCity/State/Zi�Oo ��� <br /> 6%P- Cfpr� <br /> PREVIOUS DDA rr <br /> CY <br /> Billin Name ——_ <br /> Billing ,Address (No/pir/Street/Suffix/Suite) Bi I I iliq* Ci ty/State/Zip <br /> ; 202 <br /> 3 ESI JYZE SITE TELENJONf.NIA40 I <br /> —1 —i-1 --� S9SeFt5 <br /> I Untts <br /> OWNEn tv"E (00 crLvacw3) <br /> OWNER Address (No./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> SPECIAL PROGRAM Iii FOR11ATION No.of Sorvlee Souece of Treatment Population <br /> Conwilont Supply Type Served <br /> Rdc. health bla ter L— U1 LTL1 UH <br /> ADDITIONAL COMMENTS : <br /> San. Sup. A Gl SC <br /> ETI 01 15 a 11 <br /> c <br />