Laserfiche WebLink
RHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM <br /> UPDATE /� /q � BY �� REVIEWED BY DATE ENTEREp <br /> ADDITION: EDIT: <br /> SWEEPS # '� - COMPUTER # Wil✓ zG DIST # LOC CO�E Cy <br /> UGT FILE H W FILE LAND USE FILE PWS FILE PILOT PROP <br /> FAILED PT / / SOIL CONT GW CONT /ZZ /9/ DW CONT <br /> PETROLEUM Y / N ENTERED PILOT / / PROG/ELEMENT <br /> SITE NAME C^ c <br /> 'YIC�S <br /> ADDRESS I U� PHONE �7(�) 9q3 SIoL�Z <br /> CITY C % Li-foo STATE CA ZIG 9,5�j <br /> CONTACT NAME CROSS STREET <br /> PROPERTY OWNER <br /> NAME c <br /> J T. �>r'V i CeS PHONE <br /> MAILING/STREET ADDRESS I�� ')a 1165 arV-w Sul-( Z2- <br /> CITY bq,II4 STATE -r�( ZIP �SZ42 <br /> CONTACT NAME Un know C) I PHONE 2 I00,31 <br /> RESPONSIBLE PARTY (If different from Property Owner) l <br /> COMPANY NAME - ser v )cg c PHONE <z��a 3_ ��k,? <br /> CONTACT NAME N1 , C e-r r PHONE jI <br /> ADDRESS PL4 V�l r 1 vc, <br /> CITY G--� G{ STATE _ ZIP <br /> CONSULTANT PHONE <br /> SJ/EH CONTACT <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> UAR # 1 \ 2 DATE I 122 /q I PROP 65 # - DATE /ZZ /C <br /> STREET # 1 2q4 I SITE STREET E ftq \�� r PRIORITY <br /> EH 23 070 (7/89) 89-19 ( IV) 7/89 CNTMFR <br />