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PHS/SAN JftIN COUNTY - ENVIRONMENTAWALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM <br /> UPDATE 1Q/f��/�� HY REVIEWED HY DATE ENTERED / / BY <br /> ADDITION: EDIT: __....__.._ <br /> SWEEP'S # r.� 1 COMPUTER # I UNian► 3'1 DIST # 3 LOC CODE �. <br /> UGT FILE H W FILE LAND USE FILE PWS FILE 11 PILOT PR,OG <br /> FAILED PT /Q/O L/opy SOIL CONT / / GW CONT / / DW CONT <br /> PETROLEUMY / N ENTERED PILOT / / FROG/ELEMENT <br /> SITE NAME <br /> ADDRESS 27 �7�i ( /��I�e� PHONE <br /> CITY J STATE CA ZIF' <br /> CONTACT NAME Z)O l y L,e�yu�`a/�( CROSS STREET <br /> P'ROP'ERTY OWNER � <br /> NAME �,q \ /h 0 V P (}?f NF� PHONE tll< <br /> MAILING/STREET ADDRESS0 'Q X76 00 <br /> CITY /y� ,c) / STATE ZIF' ebs/ <br /> CONTACT NAMERA .M� O1Z PHONE f y )l <br /> RESPONSIBLE PARTY ( 11 different from Pr,aper-ty Owner-) <br /> COMPANY NAME U►��o� �l � PHONE ZGC�_pla-u l� , <br /> CONTACT NAME r e� F-o LAP- PHONE /7, <br /> /� <br /> ADDRESS r 0 `7to06 <br /> CITY Las STATE C ZIF' goon <br /> CONSULTANT PHONE V <br /> SS/EH CONTACT <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> UAR # Wcj DATE DATE <br /> STREET # 578b SITE STREET !�/ PRIORITY <br /> EH 23 070 (7/89) 89-1*IV) 7/89 CNTMFR v <br />