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PHS/SAN JOA IN COUNTY - ENVIRONMENTAL .ALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM <br /> UPDATE /' /y(>I BY REVIEWED BY DATE ENTERED / / BY <br /> ADDITION : EDIT : <br /> SWEEPS # COMPUTER # DIST # 3 6, LOC CODE C <br /> UGT FILE H W FILE LAND USE FILE PWS FILE PILOT PROG <br /> FAILED PT I SOIL CONT GW CONT DW CONT <br /> PETROLEUM CY / N I ENTERED PILOT / / PROG/ELEMENT --z- <br /> SITE <br /> SITE NAME f-c (O e- <br /> ADDRESS Q�rCi , e ( PHONE <br /> CITY \ \ STATE CA ZIP � S3C� <br /> CONTACT NAMEJ ��, K.0-6C -e- CROSS STREET <br /> PROPERTY OWNER <br /> NAME V fL PHONE <br /> MAILING/STREET ADDRESS <br /> CITY 1 STATE �G ZIP <br /> CONTACT NAME r e c-c PHONE <br /> RESPONSIBLE PARTY ( If different from Property Owner ) <br /> COMPANY NAME - gs [✓r1 r, PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT Q �ProC)�,L PHONE ZO9 g g_35d y <br /> SJ/EH CONTACT {_arjdi G �Il <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> OTHER CONTACT <br /> UAR # - DATE / / PROP 65 # - DATE <br /> STREET # l ? SITE STREET , / PRIORITY <br /> EH 23 070 ( 7 /89 ) 89-19 ( IV) 7/89 CNTMFR <br />