Laserfiche WebLink
PMS/SAN JOAW IN COUNTY - ENVIRONMENTAL HEALTH DIV[SION'-"' <br /> CCNTAMIMATEO SITE 0-3ese MFR - INPUT FORM <br /> UPDATE: / / BY: REVIEWED SY: DATE ENTERED: /� /S� BY: <br /> 5SUE-?S/StTE COOEPROGRAM/ELEMENT g s� CCMP ! C v u N j ;D LOC CODE DIST�)S S7j PILOT FILE H U FILE I SITE MITIGATION PUS FILE PRIV WELL FILE 7 ENV ASSESS H2O 0 FILE EPl FILE LAND USE FIIE OTHER AG-NCYREPORT EMERGENCYRESPCNSE <br /> LEAD AGNCY/UNIT t �.� SJ/EH CONTACT ONS CONTACT ' <br /> DTHER CONTACT RNOC3 CONTACT I WOR issued Y / )i � NPOES issued Y / �� <br /> FAILED PT I SOIL CONT y �f �% GU CCNT DU CONT ETROLEUM LY. '/ N <br /> SUBSTANCE St ��v '2 I S3 '^C' <br /> 3t— <br /> PRIOR FAILED PT NO ACTION CLEAN lJP COMPLETE DATE ENFORCEMENT ACTION Y / N <br /> ENFORCEMENT TYPE: 1 2 3 4 3 6 DATE ACTION TAKEN: <br /> SITE NAMEIL <br /> �.,. i s :c�✓ rli G r f <br /> �- <br /> ADOR_a5 <br /> CITY <br /> STATE I ZIP <br /> � 9 <br /> 5 J.n C k<cv <br /> gNTACT NAME -� , F (.�%, S P C U r ✓2 ✓ PMONE <br /> PRCPERTT OWNER <br /> COMPANY NAME — - PHONE � '7_ 4��y 7 7 Yu <br /> � .�t � ti'r JU Cccv uti — <br /> CONTACT NAME PHONE <br /> . . tee <br /> ADDRESS <br /> CITY < : STATE ZIP <br /> RESPCNSIBLE PARTY (If different frac Property OWner) <br /> C:IPANY NAME PHONE <br /> � n1i <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> LIARS DATE PRCP 65 S 6 DATE q/ <br /> DA PRIORITY <br /> STREET S �,.,. SITE STREET <br /> EH 23 O70 C7/E9)RP/1590 03/91 89-19(!V) GHTMFRZ <br />