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F ;AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH C ION <br /> '�* CONTAMINATED SITE D-Base MFR - INPUT FORS <br /> UPDATE: /G( BY: REVIEWED BY: d )J DATE ENTERED: 7/ ��iiKi <br /> SWEEPS/SITE CODE Z5 / PROGRAM/ELEMENT 3 CCMP # ��G L�(� LOC CODE <br /> UGT FILE PILOT FILE H U FILE SITE MITIGATION PWS FILE PRIV WELL FILE ENV ASSESS <br /> SOLID WASTE H2O 0 FILE EPI FILE LAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> LEAD AGNCY/UNIT SJ/EH CONTACT DHS CONTACT - - <br /> OTHER CONTACT RWOCB CONTACT WOR issued Y / N NPOES issued Y / N <br /> FAILED PT SOIL CONT ! GW CONT DW CONT ETROLEUM �/ N <br /> SUBSTANCE #1 1'-03 / #2 12—o33ZI #3 -I43cF;l?y( #4 1336353 #5 <br /> PRIOR FAILED PT NO ACTIONCLEAN UP COMPLETE DATE ENFORCEMENT ACTION Y / <br /> ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br /> SITE NAME �R�✓1/Li-��� Arl,�,� l�+ <br /> ADDRESS /,9,9 C`L17 aoAlit4 0�J ,�+ V <br /> CITY ,inAj STATE <br /> CONTACT NAME VE/FY `l e -i di •/. PHONE <br /> PROPERTY OWNER <br /> COMPANY NAME MVr,6 <br /> '57 . ( PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY C5� /Qai� I�+GA� ^!` STATE G ZIP O5 $Z Z <br /> RESPONSIBLE PARTY (If different from Property Owner) [ <br /> COMPANY NAME AQ ZPGE IjE ,r PHONE <br /> CONTACT NAME vCn./ e ud PHONE IZ z-7 —701 <br /> ADDRESS - L-6>14 L G7 v . <br /> CITY .Il�wrN� l� STATE �— ZIP <br /> CONSULTANT PHONE L/ <br /> UAR # DATE S�1� �� PROP 65 # —Gtr DATE PRIORITY <br /> STREET # //0 SITE STREET G APN # (—"SCI — -OZ<� -04 " <br /> EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 f� <br />