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PHSOJOAOUIN COUNTY - ENVIRONMENTAL HEALTH DIVISOT <br />CONTAMINATED SITE D -Base MFR - INPUT FORM <br />LEAD AGNCY/UNIT <br />2L <br />SOIL CONT <br />SJ/EH CONTACT <br />GW CONT <br />DATE <br />DNS CONTACT <br />PRIORITY <br />OTHER !COENTAUCTT <br />I <br />SUBSTANCE <br />RWQC8 CONTACT <br />#2 <br />=APN <br />WOR issued <br />I Y / N <br />NPDES =lssued <br />Y / N <br />FAILED PT <br />2L <br />SOIL CONT <br />GW CONT <br />DATE <br />DW CONT <br />PRIORITY <br />ETROLEUM, <br />I <br />SUBSTANCE <br />#1 <br />#2 <br />=APN <br />ZIP <br />#3 <br />1 —1 <br />#4 <br />#5 <br />1 <br />PRIOR FAILED PT <br />NO ACTION <br />I <br />CLEAN UP COMPLETE <br />I <br />DATE <br />I <br />I <br />ENFORCEMENT ACTION <br />Y N <br />I <br />ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: / — / <br />PROPERTY OWNER <br />COMPANY NAME <br />2L <br />AI <br />CONTACT NAME <br />DATE <br />PHONE <br />PRIORITY <br />ADDRESS <br />I <br />,CONTACT NAME <br />I <br />STATE <br />=APN <br />PROPERTY OWNER <br />COMPANY NAME <br />2L <br />PHONE <br />CONTACT NAME <br />DATE <br />PHONE <br />PRIORITY <br />ADDRESS <br />I <br />CITY <br />I <br />STATE <br />=APN <br />ZIP <br />RESPONSIBLE PARTY (if different from Property Owner) <br />COMPANY NAME <br />PHONE <br />CONTACT NAME <br />DATE <br />PHONE <br />PRIORITY <br />ADDRESS <br />I <br />CITY <br />I <br />STATE <br />=APN <br />ZIP <br />CONSULTANT I PHONE I <br />UAR # <br />DATE <br />PROP 65 # <br />I- <br />DATE <br />PRIORITY <br />STREET <br />SITE STREET <br />I 1p aA-k— <br />=APN <br />EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 <br />