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Q1 <br /> PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br />{ CONTAMINATED SITE MFR - INPUT FORM . <br /> UPDRTE / j 10 BY REVIEWED BY DATE ENTERED �U /�3/ BY <br /> ADDITIONe EDIT,. ✓A <br /> SWEEPS # 13 V COMPUTER # ( � 35 DIST # �,� LOC CODE e9 <br /> UGT FILE H W FILE LAND USE FILE PWS FILE PILOT PROG <br /> FAILED PT / / SOIL CONT 7 /Zq /qoGW CONT 9 /21 /96 DW CONT <br /> PETROLEUM Y / N ENTERED PILOT / , /fo I PROG/ELEMENT' r <br /> SITE NAME <br /> ADDRESS $6,66- 0 PHONEjy <br /> CITY STATE CA ZIP <br /> f, CONTACT NAME + CROSS STREET <br /> PROPERTY OWNER <br /> 3 <br /> NAME A, PHONE <br /> MAILING/STREET ADDRESS <br /> CITY ?✓LCS1.tN ,N VISTATE ZIP 9,10CONTACT NAME PHONE <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME W`C gowp PHONE \ <br /> CONTACT NAME V / t4 W (41,5-)PHONE � &S-746bd <br /> ADDRESS �7 GNI�Vtf 51- <br /> CITY ON^ STATE ZIP ef46u <br /> CONSULTANT 61 PHONE <br /> SJ/EH CONTACT <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> UAR # - DATE 1 /30 / Gib PROP 65 # - DATE 7 /3,0 /CyQ <br /> STREET # r SITE STREET i - I PRIORITY <br /> EH 23 070 (7/89) 89-19 ( IV)7/89 CNTMFR -- <br />