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PHS#JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIA <br /> 12 CONTAMINATED SITE D-Base MFR - INPUT FORM <br /> UPDATE: L1 / / 9/BY: / REVIEWED BY: DATE ENTERED: / 2 /9 BY: <br /> SWEEPS/SITE CODE /) PROGRAM/ELEMENT Z / COMP # %va �O/ LOC CODE 9 DIST O <br /> UGT FILE [LOT FILE H W 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 DNS CONTACT - - <br /> OTHER CONTACT RWOCS CONTACT WDR issued Y / N NPOES issued Y / N <br /> FAILED PT SOIL CONT GW CONT DW CONT ETROLEUM <br /> SUBSTANCE #1 #2 #3 94 #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 NAME d <br /> ADDRESS <br /> CITY C STATE 21P <br /> CONTACT NAME PHONE <br /> PROPERTY OWNER <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> RESPONSIBLE PARTY (if different from Property Owner) <br /> i <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE y <br /> ADDRESS <br /> CITY STATE ZIP <br /> J F <br /> CONSULTANT PHONE <br /> LIAR # DATE PROP 65 # DATE PRIORITY 77YY// <br /> STREET # (/7/ SITE STREET APM # <br /> EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 <br />