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PIIS JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV* <br /> CONTAMINATED SITE D-Base MFR - INPUT FORM f1�T <br /> UPDATE: / 2,7 <br /> J/yBY: REVIEWED BY: ///l I� DATE ENTEREOMA'V I L4 1993 BY' <br /> SWEEPS/SITE CODE ( !/ PROGRAM/ELEMENT CONP # LOC CODE DIST # <br /> UGT FILE PILOT FILE H W FILE SITE MITIGATION PWS FILE PRIV WELL FILE ENV ASSESS <br /> SOLID WASTE 1120 0 FILE EPI FILE LAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> LEAD AGNCY/UNIT CC SJ/EH CONTACT (� �NT DHS CONTACT <br /> OTHER CONTACT RWOCB CONTACT (� ACL$ WDR issued Y / N NPDES issued Y / N <br /> FAILED PT SOIL CONT GW CONT DW CONT ETROLEUM Y / N <br /> SUBSTANCE #1 #2 #.3 #4 #5 <br /> PRIOR FAILED PT NO ACTION CLEAN UP COMPLETE DATE ENFORCEMENT ACTION Y / N <br /> ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br /> SITE NAMEiv <br /> ADDRESS �C�DS N. aQcd <br /> CITY II STATE ZIP-T <br /> CONTACT NAME PHONE <br /> PROPERTY OWNER n <br /> COMPANY NAME GN- U E ��� PHONE <br /> CONTACT NAME // UJ. <br /> T �. _/ _ - Y-�.�C. <br /> PHONE !-5(Q •,�.•7.7 ;L-.3 <br /> ADDRESS X00 I�CAt-[!c.a-o-` # S(J <br /> CITY �Q�. STATE '� ZIP 3 <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE Gam/ n y,A7' pt/ wwrr r( / <br /> ADDRESS <br /> CITY �', , D- _ D STATE <br /> CONSULTANT ,L��� PHONE <br /> UAR # DATE PROP 65 # DATE PRIORITY J 7 <br /> STREET # /ODJl. SITE STREETO APN # <br /> EH 23 070 (7/89)RE/VISED 03/91 89-19(IV) CNTMFR2 <br />