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RHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM <br /> UPDATE a /Z6// BY �,T REVIEWED BYb' DATE ENTERED, / / BY <br /> ADDITION: EDIT: <br /> SWEEP'S # fpt� COMPUTER # RENT,q 18 DIST # LOC CODE <br /> UGT FILE V" H W FILE LAND USE FILE PWS FILE PILOT FROG <br /> FAILED PT / / SOIL CONT '0 "0' /!q GW CONT DW CONT <br /> PETROLEUM Y / N ENTERED PILOT / / FROG/ELEMENT <br /> SITE NAME I REn4—rAL 1114,f,fliA1.Ee r co. Zic . <br /> ADDRESS 177-5 E_ c-PALDck wky I <br /> PHONE 07413 - 19 81 <br /> CITY SToc KTorl STATE ZIP �SZD <br /> CONTACT NAME r�NLC y ,k�OQ CROSS STREET f3IEGGF Ai. <br /> PROPERTY OWNER <br /> NAME (,)00 E EQV110i�1ElyT CO�t1�itlhL � � N ( PHONE qy3_ �R81 <br /> MAILING/STREET ADDRESS P D . 130 <br /> CITY 5,fbc-K,rbt,) I <br /> STATE t—,4 ZIP gC�Zo� <br /> CONTACT NAME 5-r/1NGEYMoo PHONE q,.q3 <br /> RESPONSIBLE PARTY ( If different from Property Owner) <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> SJ/EH CONTACT <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> URR # U PROP 65 # CSU -a�f7 DATE <br /> STREET # / ��/ TE STREET /a� /jLW PRIORITY <br /> EH 23 070 (7/89) 89-19 ( IV) 7/89 CNTMFR <br />