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MAt!.-_;i FILE RECORD INFORMATIOI�.VIM <br />SWEEPS <br />Ac Kon <br />County <br />P r o g /Sub E l e m <br />Computes No, <br />3 <br />� <br />� <br />C/ <br />0 <br />E.H. <br />P/S.E. Local Comp. Number <br />�F ]dj <br />Previous Comp. NuMoen <br />I-- IJ] , I [J] <br />SITE NAME (30 chaeaclore) <br />(assigned by clerk) <br />Su Dist. <br />0 13F1 <br />Effective pale <br />0171 0 ( kid <br />LL/ kc� 00rPo,\07a0rj Ah/le-x <br />I I.,ne <br />.rr r... <br />06 7 77 <br />Location Code Fee Ex. <br />F <br />Other Program A��ctivi��ty <br />L_I <br />SJTEAddress (no./Pir/Street/Suffix/Suite) Site City/State/Zip <br />l 85 6 Fre, Ic� A ✓e- • I C-,� . 75 zo3 <br />PA 4:V-OAVM) 67�s76 <br />PREVIOUS ODA <br />Biilin <br />Q 5 rboVe - <br />Billing ,Address (No/Dir/Street/Suffix/Suite) Billing* City/State/Zi <br />SGS— G 5 a"bo I/e— <br />6 (7. 33 fans <br />OWNEn NAME (30 charoctef3) . <br />ESI 92E <br />/ Seats <br />Sq. Ft. <br />M Units <br />WE T EtL h rOr.E NU1.t0E N <br />KS 0N1 <br />�rrrvvlAcaross Ulo./Dir/Street/Suffix/Suite) Owner City/State/Zip <br />I <br />SPECIAL PROGRAM INFOR,'LUION No. of Servlce source of Treatment Yopuuuon <br />Conneetlo�m ( supply Typ< Served <br />I <br />� <br />Rec. health i i ylateLJ I <br />ADDITIONAL COMMENTS: <br />San. <br />San. Sup. AC SC <br />EII 01 15 n <br />