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PHS/SAN JOF'LIIN COUNTY -- ENVIRONMENTAL-HEALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM , <br /> UPDATElo /271gi LY Pv REVIEWED PY DATE ENTERED 5 / y/� LY <br /> ADDITION: EDIT: <br /> SWEEPS # 8 COMPUTER # 1()Ntwco DIST # LOC CODE D Z <br /> UGT FILE V JH W FILEJ LAND USE FILE PWS FILE PILOT FROG <br /> FAILED PT / / SOIL CONT2 / ` GW CONT DW CONT <br /> PETROLEUM �f / N ENTERED PILOT / / PROD/ELEMENT <br /> SITE NAMEJ U �JoCAL- 1 Lo,, p 2 <br /> ADDRESS U� O l � T YY�ar\ , -e PHONE Zo!)3(P8 <br /> C I TY Lod j I <br /> STATE CA Z I P q Z q& <br /> CONTACT NAMEJ � 51 CROSS STREET /YIPJ <br /> PROPERTY OWNER ,r� <br /> NAME UNDO i-L I <br /> PHONE C qQ <br /> MAILING/STREET ADDRESS �7L-)00 Crow tr Am-L -x#400 <br /> CITY GYI ILQ.nz STATE 0# IZHq'L1 SS 3 <br /> CONTACT NAME ��� �(i'1!] 21 PHONE 15-) <br /> RESPONSIBLE PARTY (If different from Pr perty owner) <br /> COMPANY NAME 5JW_�_ Q'b bw�� PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT jPHONEt�05) -7Z16-(aq15- <br /> SJ/EH CONTACT <br /> RWQCS CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> UAR # - DATE PROP 65 # - DATE 7, /25-/gr <br /> STREET # 60 � SITE STREET PRIORITY <br /> EH 23 070 (7/89) 89-19 ( IV)7/89 CNTMFR <br />