Laserfiche WebLink
II: <br /> C�AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DlVdION <br /> LOP PROGRAM MFR INPUT FORM!, <br /> n <br /> UPDATE Ct } C�` BY KW\ REVIEWED BY [DATE ENTERED ��'� / • ' BY <br /> ADDITION: EDIT: <br /> i. <br /> ENTERED LOP 3 �[r SJ/PHS CONTACT PRIORITY <br /> NOR SENT 7j `�� LOC CODE DIST <br /> 1PROGRI'MALEMENT CODE <br /> h <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION.': , <br /> CONTRACTOR # 39000 SUBSTANCE #1 ' <br /> { SITE CODE .� SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> I� 1 <br /> SITE NAME CeLo ol ,I 3. DATE REPORTED <br /> r w 1 j� <br /> ADDRESS 'Z i b S ,{-- �.,-�knt,• - pp0.1 DATE CONFIRMED <br /> 1 I J "`R`-x <br /> CITY G�fi r. CA ZIP �5,;�1,3 14ULTIPLE RP's Y / <br /> SITE STATUS ! ; <br /> CASE TYPE CONTRACT STATUS i� I! STATUS CHANGE DATE EMERGENCY RESPONSE C <br /> r. <br /> U S G D 1 2 3 4 5 T 8 <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED F <br /> { PRELIMINARY ASSESSMENT U C DATE UNDERWAYTQCOM_PLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U 1 C DATE UNDERWAY COMPLETED ] <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY I1, <br /> 1 COMPLETED <br /> ; <br /> ENFORCEMENT ACT TAKEN Y H ENFORCEMENT TYPE 1 2 i.. 3 14 5 6 GATE ACTION TAKEN <br /> II <br /> # LUFT CONSIDERAT•ION� 'ffi' G 0 x <br /> { i <br /> EXCAVATION STARTED M .�� �!' CASE CLOSED_ Y R H DATE-CLOSED—� CIA <br /> REMEDIAL ACTION TAKEN CD- -CCB" ET'-7 FP" GTr ..___ IT _- <br /> HA T VS , <br /> __._ ___HU. .. -. <br /> �K - <br /> Primary./ Additional RESPONSIBLE PARTY <br /> f i. II <br /> COMPANY NAME ( <br /> O ()t c L I/L�/5 L J L S L le PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> I r <br /> Additional RPrs listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE7�1 <br /> ii <br /> EH 23 083(09/89)REVISED 11/90 89'20(IV)01/90 PILMFA <br /> II «� <br /> { <br />