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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> CONTAMINATED SITE MFR - INPUT FORM . <br /> UPDATEJ& //5-vqolBy REVIEWED BY DATE ENTERED B <br /> ADDITION: EDIT: <br /> SWEEPS # COMPUTER # 1 DIST # 1 LOC CODE <br /> H W FILE LAND USE FILE PWS FILE LOT PROG <br /> UST FILE -7 P, <br /> FAILED PT ISOIL CONTI JGW CONTI DW CONTI <br /> PETROLEUM Y N ENTERED PILOT PROG/ELEMENT <br /> SITE NAME <br /> ADDRESSI S Q PHONE <br /> CITY STATECA ZIP <br /> I T <br /> CONTACT NAME CROSS STREET <br /> PROPERTY OWNER <br /> NAME PHONE <br /> MAILING/STREET ADDRESS <br /> CITY STATE ZIP <br /> CONTACT NAME PHONE <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE LIL-36b-/W&xqcS <br /> SJ/EH CONTACT, <br /> RWQCB CONTACT <br /> DHS CONTACT <br /> - 1 <br /> OTHER CONTACT <br /> UAR # <br /> _7 - J-DATE PROP 65 # DATE <br /> STREET # SITE STREET PRIORI <br /> - -- -- I T7Y <br /> EH 23 .070 (7/-89) 89-19 (IV)7/89 CNTMFR <br />