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M' 'TL-H FILE RECORD INFORMATIO' OHM <br /> S IJP S. <br /> i � toon Canty Prog<Sub ( l em Carouw NO u.,k <br /> E . H , (assigned by clerk) <br /> P/ Local Comp , Number Su Dist . Location CodeFec Ex. <br /> L ( I ❑ <br /> 0 ` ' / <br /> Prey tcamp. NUMOER Effective oafs Other Program Activity <br /> SITE NAME (30 c1 a actole( <br /> c i L <br /> SITE Address (no./(sir/Street/Suffix/Suite) Site City/State/Zi <br /> -1 - : <br /> .. <br /> t \! / Ll IBJ I �L /'—'1 ; . (l <br /> PREVIOUS DOA <br /> Billinn Name _ <br /> Billing .Address (No/Dir/Street/Suffix/Suite) Oilliny City/State/Zip <br /> ESI >t1E SrTE TEILfY .t t+lri.tOEN <br /> �1Seats Pi <br /> /NUnits I I H <br /> OWNER NAME l00 crwactef:ll . <br /> OWNER Address (14o ./Dir/Street/Suffix/Suite) Owner City/State/Zip <br /> SPECIAL PROGRAM IRFORWTION No.ofServke soureeof Treatment Population <br /> Connatlont supply Typt f Served <br /> Rec. Health �rlater I ! 1--t--� <br /> ADDITIONAL COMMENTS : <br /> San, Sup. AC Sr <br /> EII 01 15 F <br />