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PL-11-17-2814-GREEN TAG
#x4> *<�> DIVISION OF Environmental Health `O Florida Health Miami -Dade County OSTDS /Well Division *0" 11805 SNV/266th Sircct • Miami. FL 33175 �O Inspector / ��'/ / I �n �� o Date Z 2 Address_ %5+65 iUf �O �%SJL OSTDS# Comments: Signature