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' . ' FILE RECORD INFORMATION 1wM <br /> SWEEPS <br /> ^clan Cow,ty P ro g/Sub E l e m w No. t►.,nr <br /> o I <br /> E .H . <br /> (assigned by clerk) .� <br /> P/S . E . Local ComP . Number Su Dist . Location CodeFec Ex. <br /> Q l [7 <br /> Previous Camp. Numm.n Effective owe Other Program Activity <br /> LU _. ... <br /> SITE MIME (30 chaactore, <br /> 6 <br /> SITE Address (no./Dir/Street/Suffix/Suite) Site City/State/Zi <br /> PREVIOUS ODA <br /> LI i <br /> Billing Name <br /> Billing Address (No/Dir/Street/Suffix/Suite) Billir12* City/State/Zip <br /> 10 <br /> ® � <br /> EST W2E TEIL•f10,4 tit AGEII <br /> / $ec1tS acw'�a <br /> Sq. Ft. <br /> I Untts I El I I I L I <br /> OwNen-w"e(3o ctw3cw3) . <br /> OwNEri Address (No./Dir/Street/Suffix/Suite) Wner City/State/Zi p <br /> SPECIAL PROGRAM INFORttATION No.of Servlei Source of Treatment Population <br /> w�' Connections supply Type Serve4 <br /> ilealth _�-- -1 wator <br /> ADDITIONAL COMMENTS : <br /> San. sun. AC SC <br /> Ell 01 15 [7 1—] F<5;� <br />