Laserfiche WebLink
All <br /> PHS QJOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIS , <br /> LOP PROGRAM - MFR INPUT FORM <br /> K <br /> UPDATE �� •� 4 k BY LC Y� REVIEWED BY DATE ENTERED � v BY <br /> ; <br /> ADDITION• EDIT: { <br /> ENTERED LOP if` 2 � � SJ/PHS CONTACT O Al i G� PRIORITY <br /> NOR SENT I, LOC CODE lot DIST PROGRAM/ELEMENT CODE 3�Z <br /> I r <br /> it <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 �� <br /> SITE CODE '_5- SOURCE OF FUNDS S / FED EXEMPT Y PETROLEUM Y / N <br /> r 1 <br /> SITE NAME S wsO °-�f� � J ;} DATE REPORTED <br /> v <br /> ADDRESS �� �.J'i � � �" �� i� OATS CONFIRMED <br /> CITY 5r OCr/\ ��AJ CA 21P y� �Q } MULTIPLE RP's Y / 0 <br /> f l '+ <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS �I STATUS CHANGE DATE EMERGENCY RESPONSE <br /> }. <br /> U /S) G D 1 O 3 4 5 6 7 8 <br /> RP SEARCH ( 5 } I N R DATE UNDERWAY _ �z COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY ii u COMPLETED <br /> JI # <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U i C' DATE UNDERWAY 'i COMPLETED <br /> F I <br /> ' } <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> a <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 "r4 5 b DATE ACTION TAKEN <br /> LUFT CONSIDERATION <br /> �C,'J 3 ( N y R L! G 0E%CAVATION STARTED CASE CLOSED Y R C L; DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT I7 RS HU NA VS YE NT OT UK <br /> ;} <br /> } <br /> r;maty / Additional RESPONSIBLE PARTY <br /> E COMPANY NAME oTeG.F � J �1 �Lf PHONE 2017 ql�lf <br /> f CONTACT NAME J 'm 65�o BA a PHA <br /> gNE <br /> ADDRESS Lf G G MNCGLN <br /> �'� �d1" STATE <br /> CITY F(C,f <br /> 41. # <br /> ;1 , <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> E <br /> 89-20(lY)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 8/92 <br />