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0 <br />PIIS/SAIL JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br />CONTAMINATED SITE D -Base MFR - INP1Ir FORM <br />UPDATE:f � / 4/9 -7gy;� REVIEWED BY: DATE ENTERED: / <br />LEAD AGNCY/UNIT pp11 , S EH CONTACT F I DHS CONTACT <br />)THER CONTACT U) WO <br />RCS CONTACT WOR issued Y / N NPDES issued Y / N <br />FAILED PT <br />c <br />SOIL CONT <br />CONTACT NAME <br />GW CONT <br />,�^ <br />l/�v <br />SWEEPS/SITE CODE ELEMENT <br />�� <br />COMP # LOC CODEa <br />I <br />DIST # <br />#1 <br />PHONE <br />#2 <br />ZIP <br />P.3 <br />/ � � <br />#4 <br />#5 <br />PRIOR FAILED PT <br />NO ACTION <br />CLEAN UP COMPLETE <br />UGT FILE <br />DATE <br />PILOT FILE <br />ENFORCEMENT ACTION Y / N <br />H W FILE <br />S[7 GATION <br />PUS FIEJ:PRIV <br />WELL F[LE <br />ENV ASSESS <br />SOLID WASTE <br />H2O 0 FILE <br />EPI FILE <br />LAND USE FILE <br />OTHER AGENCY REPORT <br />EMERGENCY RESPONSE <br />LEAD AGNCY/UNIT pp11 , S EH CONTACT F I DHS CONTACT <br />)THER CONTACT U) WO <br />RCS CONTACT WOR issued Y / N NPDES issued Y / N <br />FAILED PT <br />c <br />SOIL CONT <br />CONTACT NAME <br />GW CONT <br />,�^ <br />l/�v <br />DW CONT <br />�� <br />ETROLEUM I <br />Y / N <br />SUBSTANCE <br />#1 <br />PHONE <br />#2 <br />ZIP <br />P.3 <br />/ � � <br />#4 <br />#5 <br />PRIOR FAILED PT <br />NO ACTION <br />CLEAN UP COMPLETE <br />DATE <br />ENFORCEMENT ACTION Y / N <br />ENFORCEMENT TYPE: 1 (7V 3 4 5 6 DATE ACTION TAKEN: � � <br />SITE NAME <br />c <br />ADDRESS <br />CONTACT NAME <br />CITY <br />,�^ <br />l/�v <br />STATE <br />�� <br />ZIP <br />L <br />CONTACT NAME <br />�y I f <br />PHONE <br />_ ?371 <br />PROPERTY OWNER <br />COMPANY NAME <br />�/1 1 y /�/ISL CL <br />PHONE 1 �1 �1� 573 7 r <br />J <br />CONTACT NAME <br />C, �C•/l <br />PHONE <br />ADDRESS <br />l�J�� � J (/ •` <br />CITY <br />STAtEC, <br />;� / A � <br />ZIP <br />�J V <br />RESPONSIBLE PARTY (If different from Property Owner) <br />COMPANY NAME <br />PHONE <br />f -2 y 7 <br />CONTACT NAME <br />PHONE <br />/� - 7 <br />ADDRESS <br />CITY <br />;� / A � <br />STATE <br />4;1 r <br />ZIP <br />APR #/ <br />:CNSULTANT PHONE <br />UAR <br />DATE <br />f -2 y 7 <br />PPRgOP 65 # <br />DATE <br />/� - 7 <br />PRIORITY <br />STREET # <br />E <br />;� / A � <br />SITE STREET <br />4;1 r <br />APR #/ <br />/ � � <br />EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 <br />