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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM . <br /> UPDATE 1 (' /t"/9C)IBYI <br /> REVIEWED BY DATE ENTERED /,-11/-70113 Y <br /> ADDITION: EDIT: <br /> SWEEPS # COMPUTER # jb(jjV DIST # 3�1 LOC CODE 101 <br /> UGT FILE H W FILE LAND USE FILE PWS FILE PILOT PROG Za,4n <br /> FAILED PT / / SOIL CONT 8 / jD /8 GW CONT / / DW CONT <br /> PETROLEUM Y / N ENTERED PILOTJ ( /p)c) FROG/ELEMENT <br /> SITE NAME Lk1K STvp 4 120 <br /> ADDRESS PHONE <br /> CITY C STATE CA ZIPJ 95209 <br /> CONTACT NAME CROSS STREET <br /> PROPERTY OWNER <br /> NAME u � PHONE <br /> MAILING/STREET ADDRESS O 5� <br /> CITY r T STATE ZIP 9gf2� <br /> CONTACT NAME L C 9,t f7 -n4 PHONEG7�l(05� -8S-z � <br /> RESPONSIBLE PARTY (If different from Property Owner) ✓ <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT C PHONE <br /> SJ/EH CONTACT <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT �15 <br /> UAR # - DATE g / IC) /'Se) PROP 65 # - DATE <br /> STREET # (��2' SITE STREET -fib, .� � PRIORITY <br /> EH 23 070 (7/89) 89-19 ( IV)7/89 CNTMFR <br />