Laserfiche WebLink
PHS AN JOAGUIN COUNTY - ENVIRONMENTAL HEALTH DA AUG 0 6 1993 <br /> Side 8 - LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY C1 SITE <br /> CODE /�'�� ADDRESS /� S� CJ, ls� <br /> %. <br /> c ' ` rtmery / _AdditionaL RESPONSIBLE PARTY <br /> COMPANY WANEiy{/� <br /> CO .� �( ��� �i•� SQ �� �`,'�� PHONE - <br /> CONTACT NAME VV ll.� ����VVV�III --�1, w PHONE <br /> ADDRESS <br /> CITY CAT <br /> /r JJ `�, STATE ar ZIP C)5U` <br /> _ <br /> V Primary / _AdditionaL RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> _Primary / _Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONTAMINATED SITE MFR - Addition:_ Edi[:_ ` <br /> UGT FILE FAILED PT / / SOIL CONT / / GW CONT / / DW CONT Y / N <br /> PROPERTY OWNER Czy�A- iY Q N -Q, <br /> n(l Q <br /> COMPANY NAME k.Itr ' PHONE <br /> CONTACT NAME III������liSK PHONE <br /> ADDRESS <br /> CITY �L -6�� STATE ZIP <br /> CONSULTANT PHONE <br /> RWOC8 CONTACT UAR # DATE:—/_/_ <br /> PROP 65 # DATE:_/_/_ <br /> DHS CONTACT <br /> WDR issued: Y / N NPDES issued: Y / N <br /> STREET # I X/� SITE STREET �C APN # <br /> PILMFB revised 5/91 v <br />