Laserfiche WebLink
PHSAwd JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D,IVI ;.' I <br /> LOP PROGRAM - MFR-INPUT'FORM' <br /> UPDATE ����I9/ BY REVIEWED BY DATE ENTERED 7� BY 4 <br /> ADDITION- EDIT: <br /> ENTERED PILOT ����9� SJ/PHS CONTACT A/1 SWEEPS # f p� 2-"je PRIORITY <br /> NOR SENT — LOC CODE FO/ DIST3Z� PROGRAM/ELEMENT CODE 3"5 0' <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> - i <br /> CONTRACTOR # 39000 SUBSTANCE #1 O���fo i' - 5 <br /> SITE CODE a SOURCE OF FUNDS IAP <br /> FED EXEMPT Y / PETROLEUM C / N <br /> SITE NAME 5/'1 7* ,j� r -7 DATE REPORTED _ 9 <br /> ADDRESS (/�l`tom Q S. �./! G L "d JT SY` DATE CONFIRMED <br /> CITY CA ZIP Q��O MULTIPLE RP's Y / <br /> SITE STATUS -� <br /> r <br /> CASE TYPE ja CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U & G D� 1 2 4 5 7 8 9 h <br /> RP SEARCH �k I H' R DATE UNDERWAY f f s 1 CCMPLETED <br /> Ir <br /> PRELIMINARY ASSESSMENT /( ll J C DATE UNDERWAY ._2 = COMPLETED <br /> REMEDIAL INVESTIGATION U W-r- DATE UNDERWAY COMPLETED. <br /> aF <br /> REMEDIAL ACTION U '' I C DATE UNDERWAY COMPLETED 9! <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED" <br /> ENFORCEMENT ACT.TAKEN Y "® ENFORCEMENT TYPE 1 '-2 3 4 5 6 DATE ACTION TAKEN <br /> LOFT COHSIDERAT.IDN i 3 lCJ W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y." R H DATE CLOSED <br /> REMEDIAL ACTION TAKENT- - <br /> CD' CS ED 'ET :FP` W GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY' + - <br /> COMPANY NAME �rn ' J JS ' " PHONE <br /> CONTACT NAME R PHONE <br /> ADDRESS <br /> CITY J I STATE ZIP <br /> Additional Z,RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> e€ I <br /> EH 23 083(09/89)REVISED 11/90 89-20(]V)01/90 PILMFA <br /> a <br />