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PNS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIViziON <br />CONTAMINATED SITE D -Base MFR - INPUF FORM <br />UPDATE:/ { ? BY: REVIEWED BY: DATE ENTERED: N 7(-, BY: <br />SWEEPS/SITE CODE <br />I PROGRAM/ELEMENT <br />SJ/EH CONTACT5� <br />TC­uP#F- <br />DHS CONTACT <br />LOC CODE <br />OTHER CONTACT <br />DIST <br />RWOCB CONTACT <br />UGT FILE <br />WDR issued <br />PILOT FILE <br />NPDES issued <br />H W FILE <br />�q 3 992 i <br />SITE I4ITIGATION <br />21P <br />PUS FILE <br />PRIV WELL FILE <br />ENV ASSESS <br />NO ACTION <br />SOLID WASTE <br />CLEAN UP COMPLETE <br />H2O 0 FILEL <br />I <br />EPI FILET <br />LAND USE FILE <br />I <br />OTHER AGENCY REPORT <br />EMERGENCY RESPONSE <br />LEAD AGNCY/UNIT <br />' 5 _ (Tr– <br />SJ/EH CONTACT5� <br />gyp,'— <br />(� <br />DHS CONTACT <br />CONTACT NAME <br />OTHER CONTACT <br />RWOCB CONTACT <br />Y / <br />WDR issued <br />Y /6 <br />NPDES issued <br />Y / Q <br />FAILED PT <br />' 5 _ (Tr– <br />SOIL CONT <br />PHONE <br />GW CONT <br />CONTACT NAME <br />DW CONT <br />IP <br />ETROLEUM <br />Y / <br />SUBSTANCE <br />#1 <br />J% 3 3r„ #2 <br />d <br />�q 3 992 i <br />#3 <br />21P <br />#4 <br />#5 <br />PRIOR FAILED PT <br />NO ACTION <br />CLEAN UP COMPLETE <br />DATE <br />ENFORCEMENT ACTION <br />Y / N <br />ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br />SITE NAME <br />' 5 _ (Tr– <br />ADDRESS <br />PHONE <br />CITY <br />CONTACT NAME <br />STATE <br />1J 1 <br />ZIP <br />�Y <br />CONTACT NAME <br />n � <br />PHONE <br />d <br />PROPERTY OWNER <br />COMPANY NAMEIA <br />IaJ6��— - 1 n V Ij <br />PHONE <br />CONTACT NAME <br />CONTACT NAME <br />PHONE <br />FAt� L�i, J`�, � <br />AWvY� <br />PHONE <br />ADDRESS <br />n � <br />CITY <br />d <br />STATE <br />21P <br />RESPONSIBLE PARTY (if different from Property Owner) <br />COMPANY NAME <br />PHONE <br />CONTACT NAME <br />PHONE <br />ADDRESS <br />CITY <br />STATE <br />4-- <br />ZIP <br />PHONE I 9'15/643 <br />UAR # <br />DATE <br />PROP 65 # <br />DATE <br />PRIORITY <br />STREET # <br />SITE STREET <br />4-- <br />APN # <br />v U <br />EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 <br />