Laserfiche WebLink
PH�4 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIl IN <br /> CONTAMINATED SITE D-Base MFR - INPUT FORM <br /> UPDATE: S /9 //7 C BY: f� REVIEWED BY: DATE ENTERED: / /� / / BY: <br /> SWEEPS/SITE CODE L�"l2 6 D rPROGRAM/ELEMENT 23� 71 COMP # 6-eeA1 LOC/C(0/DE DIST # <br /> UGT FILE PILOT FILE H W FILE SITE MITI GAT[ON PWS F[lE PR1V WELL FILE ENV ASSESS <br /> SOLID WASTE H2O 0 FILE EPI FILELAND USE FILE BOTHER AGENCY REPORT EMERGENCY RESPONSE <br /> LEAD AGNCY/UNIT /A��" SJ/EN CONTACT �Ll` JIAA4J�/ DHS CONTACT -- <br /> OTHER CONTACT !� RWOCS CONTACT WDR issued Y / N NPDES issued Y / N <br /> FAILED PT SOIL CONT ok-f/lq GW CONTl��G' DW CONT ETROLEUM �/ N <br /> SUBSTANCE #1 '7iyajZ #2 �v6Nz3 # $DO <br /> 3 �0 / #4 �Z 0TjZ #5 <br /> PRIOR FAILED PT NO ACTION CLEAN UP COMPLETE DATE ENFORCEMENT ACTIONY /c> <br /> ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br /> SITE NAME ,A ! /pr Z,- <br /> ADDRESS G ��l7 JE T�f fiQ-✓(�[� <br /> CITY ,.-f .,f .fi [ x STATE ZIP 1-7 45 ZZD <br /> CONTACT NAME �4ee-Nr "^9 PHONE <br /> PROPERTY OWNER [s <br /> COMPANY NAME �� i yf�n� PHONE <br /> CONTACT NAME L!. /•w,ZPHONE / v <br /> ADDRESS <br /> CITY ��y- v�[[�tJ /}�O - ✓�T STATE Gk ZIP <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 <br /> UAR # - 1—� DATE 1 PROP 65 # /_ Q� DATE �' yJ/G( 1 PRIORITY <br /> STREET # 6 5T O SITE STREET ��N�J(�I //� APNI# <br /> EH 23 070 (7189)REVISED 03/91 89-19(IV) CNTMFR2 <br />