Laserfiche WebLink
PHS/ JOAOUlN COUNTY - ENVIRONMENTAL HEALTH DIVI ? <br /> LOP PROGRAM- MFR INPUT FORM <br /> '! <br /> BY <br /> DATE ENTERED 9,if 1 5 1994 <br /> UPDATE `Z of 7S 5,1621 <br /> �1 ADDITION: EDIT: <br /> I <br /> i I <br /> rf /l J/PHS CONTACT ��j � PRIORITY i! <br /> :i ENTERED L dC % i1 <br /> ! /� LOC COOE DIST PROGRAM/ELEMENT CODE <br /> 14 NOR SENT ! , Ij <br /> j O' k <br /> i SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> f� I <br /> f CONTRACTOR # 39000 SUBSTANCE #1PS <br /> SOURCE OFFUNDS / F FED EXEMPT Y� / [ N ) PETROLEUM / N <br /> i SITE CODE l <br /> J <br /> SITE NAME 5 �D 1 r DATE REPORTED <br /> q DATE CONFIRMED /J �1 <br /> Ii ADDRESS Chat q <br /> CITY h� '( CA 2!P Q /'�5 MULTIPLE RP'B <br /> �I <br /> t SITE STATUS <br /> CASE TYPE <br /> CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> � i <br /> LI 11 j1 <br /> { U G D 1 2 0 4 5 6 7 8 C t V <br /> RP SEARCH I N R DATE UNDERWAY COMPLETED -)124 Av <br /> I III <br /> .a <br />! �I PRELIMINARY ASSESSMENT C DATE UNDERWAY 71-7 A COMPLETED , <br /> I <br /> I <br /> U <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED f <br /> i REMEDIAL ACTION U 1 C ' DATE UNDERWAY COMPLETED li <br /> 11 <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED II <br /> i <br /> ENFORCEMENT ACT TAKEN N ENFORCEMENT TYPE 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3 �S do W G 0 <br /> -T EXCAVATION STARTED CASE CLOSED Y R C t L DATE CLOSED <br /> si <br /> !; REMEDIAL ACTION TAKEN CD Cs ED ET FP GT IT RS HU 'NAA VS VE " NT OT UK j <br /> 5 <br /> Primary / AdditionaL RESPONSIBLE PARTY AUG 15 199 I' <br /> I! <br /> COMPANY NAME PHONE �? <br /> CONTACT NAME ,�J ��� R PHQNE �f <br /> !I <br /> ADDRESS <br /> CITY l D STATE G e ZIP o ii <br /> i3 <br /> Additional RP's Listed on REVERSE SIDE "CONTAMINATED MFR INFO On REVERSE SIDE <br /> EH 23 08309/8 )REVISED 8/92 89-20(IV)01/90 PILMFA d <br />