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SWEEPS # <br />UGT FILE <br />COMPUTER # <br />c,A7 1W FILE <br />Ogfet 413 177 o <br />LAND USE FILE <br />DIST # LOC CODE <br />PWS FILE PILOT PROG <br />PHONE <br />Ro, <br />CITY STATE ZIP <br />•••ro <br />•••••• <br />NAME <br />MAILING/STREET ADDRESS <br />AyiVtgi)) .q05 <br />gl <br /> <br />PHS/SAN JOA COUNTY - ENVIRONMENTAL 01OLTH DIVISION <br /> <br />C MINATED SITE MFR - INPUT RM <br />UPDATE/9/. BY 50 •7 REVIEWED BY DATE ENTERED / / BY <br />- ADDITION: EDIT: <br />FAILED PT / / SOIL CONT / /070 1?!) GW CONT / / DU CONT <br />PET ROLEU <br />ENTERED PILOT <br />PROG/ELEMENT <br />SITE NAME 60-MA0c,A1)g.e._ <br />ADDRESS .27L3/s Q)j e A27, PHONE <br />CITY (511/CA-Z44.----' STATE CA ZIPi <br />1?1/4SQ•C'S I CONTACT NAME CROSS STREET <br />Y OWNER <br />CONTACT NAME <br />PHONE <br />RESPONSIBLE PARTY (I / different from Property Owner) <br />COMPANY NAME <br />PHONE <br />CONTACT NAME <br />PHONE <br />ADDRESS <br />CITY <br />STATE' <br /> <br />ZIP <br />CONSULTANT <br />SJ/EH CONTACT <br />RWOCB CONTACT <br />DHS CONTACT <br />OTHER CONTACT <br />PHONE <br />UAR # <br />DATE <br />/ / PROP 65 # <br />ONO <br /> DATE / / <br />STREET # <br />SITE STREET <br />PRIORITY <br />EH 23 070 (7/89) 89-19(IV)7/89 CNTMFR