Laserfiche WebLink
AJOAQUIN CCUNTY - ENVIRONMENTAL HEALTH DIV Y}-ON <br /> '/ LOP PROGRAM - MFR INPUT FORM <br /> UPDATE t-/-/S��? BY <br /> / REVIEWED BY -- DATE ENTERED T;' <br /> fps r 1 1993 BY <br /> ADDITION:__ EDIT: ✓ <br /> ENoRENTjjaF::: <br /> TACT "�/lvll:q � ASWEEPSDDE D( D[ST 3 Z / PROGRAM/ELEMENT CODE 3S L <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR IN 39000 SUBSTANCE k1 Foo(//9 <br /> SITE CODE / 3 SOURCE OF FUNDS S / FED EXEMPT Y / �N PETROLELM / N <br /> SITE NAMEr3o <br /> i i C5� Dr✓: DATE REPORTEDADDRESS �/ ../ �/ r / <'' / (� � � DATE CONFIRMEDCITYpp- / �,• CA ZIP 'P D! <br /> /G/C�w9C/�" 9.jMULTIPLE <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U Q G D 1 2 0 4 5 7 8 9 3_ (1_p2 q r <br /> RP SEARCH ()S f N R DATE UNDERWAY 3 -q—?2— / '��' '23 -!Z <br /> COMPLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY 1Z-2G-9d COMPLETED <br /> REMEDIAL INVESTIGATION U VC DATE UNDERWAY <br /> COMPLETED <br /> REMEDIAL ACTION U 1 C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY <br /> COMPLETED <br /> ENFORCEMENT ACT TAKEN d/ N ENFORCEMENT TYPE D 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS <br /> n _Primary / _Additional RESPONSIBLE PARTY <br /> COMPANY NAME X / aee <br /> PHONE <br /> CONTACT NAME D . T. /�/�. ( RK PHGNE x$"16 - 675-- 6,-6 S <br /> ADDRESS O, ✓ 'fid`2 7 ry <br /> CITY (/ ',r1 Qggp <br /> (iO y(�O-O C,E.� STATE 1 ZIP 97526 -?2" 0 <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 <br /> 89-20(IV)01/90 PILMFA <br />