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PHS/SAN JOAblN COUNTY - ENVIRONMENTAA*LTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM <br /> UPDATEF/)/&y BY REVIEWED BY DATE ENTERED ///0�/,5 BY <br /> ADDITION:_ EDIT: <br /> SWEEPS # 16-71 COMPUTER # V1 to DIST # `3a,p LOC CODE 02 <br /> UST FILE H W FILE LAND USE FILE PWS FILE PILOT PRO6 j..,- <br /> FAILED PT / / SOIL CONT $? /09 /�J GW CONT DW CONT <br /> PETROLEUM OY / N ENTERED PILOT ?q /(0 //3 1 PROG/ELEMENT o`Z3. S Q <br /> SITE NAME e� } <br /> ADDRESS 7 � �� PHON og 3 34-al q/ <br /> CITY OGS STATE CA ZIP <br /> CONTACT NAME e(.(� d CROSS STREET <br /> PROPERTY OWNER <br /> NAME � Cy�_ 7F� PHONEec2og3? —ol L�j <br /> MAILING STREET ADDRESS �t o.-r3 5't <br /> CITY ( � �� STATE Z IF' gSo25 <br /> CONTACT NAME � PHONE <br /> RESPONSIBLE PA TY (If differen from Property Owner) <br /> COMPANY NAME �� PHON <br /> dog 33 q-a.l4 <br /> CONTACT NAME \�- 1 RHONE <br /> ADDRESS O. <br /> CITY STATE . Z I <br /> CONSULTANT ��do� PHON 8 c�a, <br /> SJ/EH CONTACT <br /> RW©CB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> UAR # DATE JY71 IvZ lag PROP 65 # - DATE <br /> STREET # 1 Q -7 SITE STREET PRIORITY <br /> EH 23 070 (7/89) 89-19 (IV)7/89 CNTMFR <br />