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PL-08-23-1984 Green Tag
Division of Environmental HealthC Bldg - Main OSTDS%Well Division: Location p FL. 33056 Main Office: 1725 NW 167t" Street, Miami, phone: 786-654-6620 a A*- *0' - 0 w 0 '? Mcamr- � � �,,�%' Date �'�„-- '� � �'� Inspector �1� OSTDS# , Address. meComments: Signature l E4