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0 0 <br />PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br />CONTAMINATED SITE MFR INPUT FORM. <br />R "AA 0 11 <br />iREVIEWED !DATE ENTERED! <br />FAMOM <br />AND <br />USE FLE� PROG <br />FAILED PT <br />la14ff <br />SOIL CONT <br />c(6 9d c) <br />GW CONT <br />3& /C/// <br />DW CONT <br />J -'t' <br />PETROLEUM <br />Y N <br />ENTERED PILOT <br />STREET # <br />PROG/ELEMENT <br />. <br />PHONE] <br />PRIORITY <br />SITE NAMEJ <br />ADDRESSI P S-/,2 jk-2e. 4-c r /co ed - PHUNL LI&3- yt/q <br />CITY 5 STATE CA ZIP C) <br />CONTACT NAMEJ la /-) WCROSS ROSS STREET 5;lvet- <br />I C2 t- agmmmccmmmmwm� <br />PROPERTY OWNER <br />NAME <br />X, 7-, Pe /" 5 v <br />PHONE <br />c(6 9d c) <br />MAILING/STREET ADDRESS <br />3& /C/// <br />CITyj <br />J -'t' <br />STATE <br />64 1 <br />Z I P <br />STREET # <br />CONTACT NAMEJ <br />. <br />PHONE] <br />RESPONSIBLE PARTY (If different from Property Owner) <br />COMPANY NAMEPHONE <br />-1-er lo v (W g, <br />PHONE <br />y1, 3 V <br />CONTACT NAME <br />------ <br />PHONE <br />0 <br />ADDRESS <br />r /c Z) led, <br />CITY <br />STREET # <br />STATE <br />I C,4 I <br />ZIP <br />CONSULTANT <br />I <br />PHONE <br />I DATE <br />SJ/EH CONTACT <br />I PROP 65 #1 <br />RWQCB CONTACT <br />0 <br />DHS CONTACT <br />1 9 <br />IOTHER CONTACTI <br />STREET # <br />UAR # <br />I <br />- <br />I DATE <br />I ! <br />I PROP 65 #1 <br />�q <br />- <br />DATE <br />1 9 <br />1d5T 1,F7 <br />STREET # <br />SITE STREET <br />PRIORITY <br />r1l ;:02.1 e17e% 17/At':% nC!-1QlTtl%7/jQQ MITMCD <br />