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0 <br />SJLHD CONTAMINATED SITE MFR FORM ; PAGE 1 <br />NOTE: THIS FORM IS TO BE USED FOR ADDING, DELETING AND EDITING <br />INFORMATION FOR THE CONTAMINATED SITES DATA BASE. ONLY THE <br />SWEEPS NUMBER AND FACILITY NAME WILL BE REQUIRED TO IDENTIFY THE <br />APPROPRIATE RECORD FOR EDITS AND DELETES. ALL APPROPRIATE <br />INFORMATION SHOULD BE FILLED OUT FOR ADDITIONS TO THE DATA BASE. <br />UPDATE: iW /G SUBMITTED BY: <initials> DATE ENTERED: 14181 <br />ADDITION: �� EDIT: <br />• DELETE. <check one> <br />SWEEPS 1: J7 -L, -,Z COMPI : fIC - / DIST# : LOC CODE: <br />FACILITY NAME: //z %l�i��ll�l�/ <br />FACILITY STREET: ��2CJ �_ /,P�'y 10?2 T� <abbreviate> <br />FACILITY CITY: /��'C'��f <br />FAC STATE: CA FAC ZIP: <br />FACILITY TEL: 209 / CSS—�SOCr� FACILITY CONTACT: <br />OWNER NAME: <br />OWNER STREET: I! /14:�'-- <br />OWNER CITY:' OWNER STATE: OWNER ZIP: <br />OWNER TEL: OWNER CONTACT: <br />C. <br />UGST FILE: `'� H.W. <br />FILE: LAND FILE: WATER FILE: <br />FAILED PT: SOIL CONTAMINATION: c/ CUBIC YDS: <br />GROUND WATER CONT: SURFACE WATER CONTAMINATION: <br />DRINKING WATER CONT: OTHER CONT: <T or F> <br />TPH: BEN: <br />_^ TOL: XYL: ETHYL BEN: ��EDB: <br />SOLVENTS: AROMATICS: METALS: OTHER: � <T or F> <br />EH 23 070 (2) 2/88 <br />