Laserfiche WebLink
PHS/SAN JO AG COUNTY - ENVIRONMENTAL h .TH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM <br /> IUPDMle, / I /J BY 4v Ii SWED BY DATE ENTERED lj-/;Z_/gdlBY <br /> ADDITIONS _ EDIT: <br /> SWEEPS !Y COMPUTER # � DIST # / LOC CODE ©f <br /> UST FILE H W FILEJ LAND USE FILE PWS FILE PILOT FROG <br /> FAILED PT / / SOIL CONT I I/ /Z` / GW CONT I /W / a DW CONT <br /> PETROLEUM (:f)/ N ENTERED PILOTJ / / PROG/ELEMENT <br /> SITE NAMEJ ` Kce md` <br /> ADDRESS 2 0�( e ) PHONE �Crl) <br /> CITY 5 ts1 n STATE CA ZIP 95 w <br /> CONTACT NAME 6F� CROSS STREET <br /> PROPERTY OWNER <br /> NAMEJ pe- d PHONE6:ef) <br /> MAILING/STREET ADDRESS P© <br /> CITY - ",Gk 7STATE (fcZIP �S"zoy <br /> CONTACT NAME PHONE16,,,, . <br /> ) 13D 1 <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> SJ/EH- CONTACTew,' A��hg- <br /> RWCiCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> FUAR # % - �q DATE S/ PROP 65 # 9'�- ! DATES / /ET # 'Z� �( SITE STREET ��/v ! PRIORITY <br /> EH 23 070 (7/89) 89-19 (IV)7/89 CNTMFR <br />