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SW EFi FILE HECORO INFORMATION#HM <br /> ^cc,on County t�}�tt� E1 em Comp�A�+ r+o. t,,+v <br /> (7D1 <br /> assigned by clerk)Locai Como . umber Suo/Dist . Location CodeFeL Ex <br /> fl F7 f A 1 7-1 C- L-3 <br /> 17 <br /> Previous Camp. Numccn Effective oat* Other Program Activity <br /> SITE NAME cttiaraclor <br /> 7O <br /> TE Address (no./lir/Street/Suffix/Suite) Site City/State/Zi <br /> y V <br /> PREVIOUS OOA <br /> B i 11 i r1,ime <br /> LZ 17'1 c4,s <br /> 8 cling Address (Ko/Dir/Street/Suffix/Suite) Billira' City/State/Zip <br /> `7 Yl.2 IFea 4F � `767 <br /> � —3S 7 <br /> EST SIZE SITE TELFF1+0r:'E tVl.7.4 A <br /> I Seat) M(• <br /> --3 F77 <br /> 7 7 <br /> ! Unitt s <br /> OwrvER K-ME(:)o CrWz W3) . <br /> OWNERAddress ((40./Dir/.Street/Suffix/Suite) Owner City/State/Zi p <br /> SPECIAL PROGRAM MFOR:(ATION No.of Service Source of Treatment POW14tlon <br /> connections supply Type Served <br /> Ric. tical th Bila ter <br /> ADD[ TI OVAL COMMENTS : <br /> P c, <br /> IV <br /> San. Sup. AC SC <br />�� 01 15 <br />