Laserfiche WebLink
PHSA I JOAQl1IN COUNTY - ENVIRONMENTAL HEALTH DIVI,, <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE !� �� BY REVIEWED BY �� DATE ENTERED <br /> ADDITION: EDIT: <br /> 3 --G -93 <br /> ENTERED PILOT SJ/PHS CONTACT SWEEPS # PRIORITY <br /> NOR SENT Q�J LOC CODE 0, DIST ' PROGRAM/ELEMENT CODE 3 ,5) 11 <br /> 66 SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 3 <br /> SITE CODE S 6 SOURCE OF FUNDDS���� S / ( F } FED EXEMPT Y / ( H PETROLELL4 / N <br /> SITE NAME Rol)osv c0hC, e�1� cohS'l Rm c ion (0, <br /> DATE REPORTED N I 7a <br /> ADDRESS 1 S Com Ce DATE CONFIRMED J361 Q� <br /> CITY Q S ^ ��ph vw, <br /> CA I ZIP q5/103 <br /> � TPUT <br /> IPLE RP's / <br /> SITE STATUS l <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U o8 G D 1 2 3 4 5 7 8 9 3 — �-c( 3 I <br /> RP SEARCH is <br /> i H R DATE UNDERWAY p 3 COMPLETED 3 3 <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY ) �/` COMPLETED <br /> REMEDIAL INVESTIGATION U DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTI03 U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT r=IT0!tING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN cy) <br /> H ENFORCEMENT TYPE 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 S R W G 0 fJ <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> _Primary / _—Additiormt RESPONSIBLE PARTY <br /> COMPANY NAME e 03 ` oaC tt ff C iOh COPHONE cO O Q <br /> CONTACT NAME L Q cy, C C G 1 k-f PHONE Q CJ O3 <br /> ADDRESS 3 neat Hoo 011/ <br /> CITY STATE ZIP � <br /> G <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />