Laserfiche WebLink
1AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH C ION <br /> CONTAMINATED SITE O-Base MFR - INPUT FORD""" <br /> UPDATE: / BY: REVIEWED BY: DATE ENTERED.., � le BY: <br /> SWEEPS/SITE CODEZ G PROGRAM/ELEMENT Z SQ CCMP # LOC CODE DIST # <br /> UGT FILE LOP FILE J H W FILE SITE MITIGATION PWS FILE PRIV WELL FILE ENV ASSESS ✓ <br /> SOlIO WASTE H2O 0 FILE EPI FILE LAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> LEAD AGNCY/UNIT SJ/EH CONTACT DHS CONTACT <br /> OTHER CONTACT RWOCS CONTACT WDR issued Y / N NPDES issued Y / N <br /> FAILED PT / / SOIL CONT / / GW CONT / / DW CONT PETROLEUM Y / N <br /> SUBSTANCE #1 #2 #3 #4 #5 <br /> PRIOR FAILED PT NO ACTION H <br /> CLEAN UP COMPLETE DATE Al <br /> ENFORCEMENT ACTION Y / N <br /> ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br /> SITc' NAME <br /> ADDRESS /� �D �•��� ��. <br /> CITY TSTATE ZIP ¢5 3 <br /> CONTACT NAME "/ yy�� PHONE F< ��T• x353 <br /> PROPERTY OWNER /C <br /> COMPANY NAME A/ /]A" 6 PHONE <br /> CONTACT NAME � ,n '// PHONE 0 <br /> ADDRESSO�/ 7 4 <br /> CITY STATE ZIP <br /> RESPONSIBLE PARTY (If different from Property Owner) <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT [PHONE <br /> UAR # DATE PROP 65 # DATE PRIORITY <br /> STREET # / � SITE STREET —L� APN # 3 390 d <br /> EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 <br />