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• 0 <br /> PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM <br /> UPDgTE y/� / BY REVIEWED BY DATE ENTERED <br /> ADDITION: EDI"I <br /> SWEEPS # COMPUTER # EZ�oaS DIST # LOC CODE <br /> UGT FILE H W FILE LAND USE FILE PWS FILE PILOT FROG <br /> c <br /> FAILED PT / / SOIL CONT 3 /a /0 6W CONT / / DW CONT <br /> PETROLEUM Y, / N ENTERED PILOT / / FROG/ELEMENT <br /> SITE NAME <br /> '510 <br /> ADDRESS PHONE <br /> s o '09 -516 3 -sY3s <br /> CITY c STATE CA ZIP ysa 0 S <br /> CONTACT NAME v CCfSP CROSS STREET we <br /> PROPERTY OWNER <br /> NAME PHONE <br /> r E /J7 / �� �iy- <br /> MAILING/STREET ADDRESS <br /> CITY STATE ZIP <br /> ivPisio% -- 9Js/� -s6s� � <br /> CONTACT NAME Sol G/ q l�ursf F'HONE u_ <br /> 36 y 70sG <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT F'HONE <br /> SJ/EH CONTACT <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTRCT <br /> UAR # 16 - �(/� DATE / j /Yv PROP 65 # �0-bc� DATE <br /> STREET # I a S 3 SITTREET �� �� I PRIORITY <br /> EH 23 070 (7/89) 89-19 ( IV) 7/89 CNTMFR <br />