Laserfiche WebLink
PHS: 1OAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVs: �`lG__J <br /> Side B - LOP PROGRAM - MFR INPUT FORM <br /> LA <br /> UPDATE �'Z:3 BY SITE CODE �[� n ADDRESS S <br /> r/ ' v <br /> Primary / AoditiCnaL RESPONSIBLE PARTY}_ <br /> COMPANY NAME ��» r/�5 /� ,� PHONE <br /> CONTACT NAME PHONE <br /> ADDRESSVn4-1 ' ' CA <br /> CITYUa ((fc4 T STATE" ZIP <br /> Primary AdditionaL RESPONSIBLE PARTY <br /> COMPANY.NAME _ t } e- FI�IOFiE 1 .4 tf I All, <br /> CONTACT NAME ,� ; . w,; +► +PHONE <br /> ADDRESS <br /> L-J :�. s* ,►-r-'1ST,.. ! '}F).� <br /> CITY STATE ZIP <br /> Primary / Additional RESPONSIBLE PARTY . <br /> 4 , <br /> COMPANY NAMEr�' _ PHONE _ `A <br /> CONTACT NAME PHONE <br /> ADDRESSr� <br /> CITY j STATE ZIP <br /> CONTAMINATED SITE MFR - Addition: Edit: <br /> UGT FILE FAILED PT / / SOIL CONT 5/ J{G/ $(p Gu CONT / /_ w DW CONT _Y / N <br /> PROPERTY OWNER ` »� <br /> COMPANY NAME PHONEi <br /> 14 _.. <br /> CONTACTNAME „ PHONE } -F <br /> ADDRESSto <br /> CITY Rel STATE A f. ZIP (T D <br /> bCONSULTAN ►.PHONE� ?y <br /> RWQCB CONTACT r y UAR # s T DATE:_ <br /> DHS CONTACT PROP 65 # DATE: ! / <br /> STREET# r. SITE STREET G {� ��+- r� S ` APN # <br /> EH 23 11/90 90- (IV)11/90 PILMFB <br />