Laserfiche WebLink
PHS/SAN JIN COUNTY - ENVIRONMENTt . ALTH DIVISION <br /> 40ONTAMINATED SITE MFR - INPUT FORM , <br /> UPDATE ?j/ �/� BY REVIEWED BY DATE ENTERED / / BY <br /> AD ITION: EDIT: <br /> - <br /> SWEEPS # COMPUTER # IDIST # �?� C� LOC CODE O <br /> / I <br /> UGT FILEH W FILE LAND USE FILE PWS FILE PILOT PRGu- l <br /> FAILED PT / / SOIL CONT f? / ? /90 GW CONT I DW CONT <br /> PETROLEUM / N ENTERED PILOT / / FROG/ELEMENT <br /> SITE NAMEJ 19 <br /> ADDRESS ' ct 0 L/ C �-�G�Z PHONE <br /> CITY ]STATE CA ZIP <br /> CONTACT NAMEJ CROSS STREET SNDA ' <br /> PROPERTY OWNER <br /> NAME xy 41 ro PHONE <br /> MAILING/STREET ADDRESS �-7 G Z n <br /> CITYG2,(�� S/!;'(��L/�-M2 STATE ZIP <br /> CONTACT NAME PHONE <br /> RESPONSIBLE PARTY (If different from Property Owner,) <br /> COMPANY NAME -7-7 - PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> SJ/EH CONTACT <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> UAR # D - �] Q DATE 3/��` / �6 PROP 65 # - DATE <br /> STREET # SITE STREET PRIORITY <br /> EH 23 070 (7/89) 89-19 (IV)7/89 CNTMFR <br />