Laserfiche WebLink
tj <br /> PHSJOAOUIN COUNTY - ENVIRONMENTAL HEALTH DTVI <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE /�cj/�-Z BY /ter - REVIEWED BY BATE ENTERED BY <br /> ADDITION:— <br /> � BY J <br /> • a <br /> ADDITION: EDIT: U <br /> ENTERED PILOT SJ/PHS CONTACT - "` SWEEPS # >O pCj PRIORITY <br /> O <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> SITE CODE Y SOURCE OF FUNDS S / F FED EXEMPT Y . / N PETROLEIP! Y / N <br /> SITE NAME s _�-7 Y2 BATE REPORTED <br /> ADDRESS / DATE CONFIRMED 1 <br /> `7 � - <br /> CITY CA ZIP �� //J MULTIPLE RP's Y / N <br /> SITE STATUS j <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> _ I <br /> I <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED 1 <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U Vic, DATE UNDERWAY COMPLETED j <br /> f <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> i <br /> POST REM ACT MONITORING Y N U C 'DATE'UNDERWAY A COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE'' 1" 2 3 4 5 - b DATE ACTION TAKEN 1 <br /> LUFT CONSIDERATION 1 2 3' H S C, A R W �G 0 { <br /> EXCAVATION STARTEDCASE CLOSED Y R H DATE CLOSED <br /> I <br /> REMEDIAL ACTION TAKEN CD CB EB ET FP GT' IT RS HU - NA VS j <br /> I <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME , _ PHONE s�D _ Z78-&9S- <br /> CONTACT NAME t� �__ ' PHONE <br /> ADDRESS <br /> CITY — STATE �+� ZIP YI �,fj0 ,'7 <br /> 1 <br /> Additional RP'S Iisted on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE j <br /> 89-20(IV)01/90 PILMFA <br /> EN 23 083(09/89)REVISED 11/90 _ <br />