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PIIs7SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> 14 g)12 CONTAMINATED SITE D-Base MFR - INPUT FORM <br /> UPDATE: / / BY: do REVIEWED BY: DATE ENTERED: DE <br /> @ 9 1993 <br /> SWEEPS/SITE COD 009 PROGRAM/ELEMENT C COMP # '67 L. LOC CODE ST # <br /> UGT FILEPILOT FILE H W FILE SITE MITIGATION PUS 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 1 h& <br /> .o. I DHS CONTACT <br /> OTHER CONTACT RWOCB CONTACT I sv aeioQ WDR issued Y / NPDES issued Y / <br /> FAILED PT SOIL CONT 1 /O,/& 1, GW CONT DW CONT ETROLEUM (3 / N <br /> SUBSTANCE #1 #2 I #3 L 1 #4 1 #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 NAMELimcq S (Lor-) <br /> ADDRESS / 'S6 5 ' / �.•c� <br /> CITY Lm7bwL V STATE ��'J ZIP 9j33d <br /> CONTACT NAME l•�T PHONE <br /> PROPERTY OWNER <br /> COMPANY NAME / PHONE <br /> CONTACT NAME L• PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME L&F <br /> PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> UAR # l_YJY L.II DATE PROP 65 # DATE PRIORITY <br /> STREET # ^T SITE STREETle /e'/C6 APN # <br /> EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 l-�Jl.l J <br />