Laserfiche WebLink
} <br /> r - <br /> PHS/SY SCUIN COUNTY - ENVIRONMENTAL HEALTH DIVIS, _ <br /> CONTAMINATED SITE D-Base MFR - INPUT FORM <br /> �/, V DATE ENTERED: /' '� /'' <br /> UPDATE: / 2,0 / c BY: V I REVIEkED 8Y: / + 1 V �' 1 J �� BY: -1/ <br /> SWEEPS/SITE CODE �[/� PROGRAM/ELEMENT �l U I COMP ' FLOC CCOE DIST <br /> UGT FILE PILOT FILE H W FILE SITE MITIGATION PUS FILE PRIV WELL FILE ENV ASSESS <br />` SOLID WASTE I J.H20 0 FILE EPI FILE LAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> E <br /> LEAD AGNCY/UNIT SJ/EH CONTACT DHS CONTACT - <br />` OTHER CONTACT R1.'QC3 CONTACT TOR issued Y / N NPOES issued <br /> FAILED PT SOIL CONT GW CONT DU CONT 1PETROLEUM. Y / N <br /> I SUBSTANCE "1 4!2 "3 #4 "5 <br /> f <br /> PRIOR FAILED PT NO ACTION CLEAN UP COMPLETE DATE ENFORCEMENT ACTION Y ./--N <br /> ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br /> 1 <br /> 1 SITE NAME <br /> ADDRESS qL 'VL Wo 0 r�j <br /> r <br /> ctrY � �� EE <br /> (/� ZIP �S 2, 6s <br /> CCNTACT NAME PHONE <br /> I <br /> PROPERTY OWNER -# <br /> COMPANY NAME PHONE <br /> 1 CONTACT NAME jQ- �^ PHONE <br /> ADDRESS <br /> If <br /> CITY <br /> STATE ZtP y" <br /> RESPCNSIBLE PARTY (If different from Property Owner) <br /> I COMPANY NAME PHONE <br /> 4 <br /> s <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> 1 <br /> UAR r DATE PROP 65 DATE PRICRITY (� <br /> STREET 3 SITE STREET and APN 0 O,27-: -� 1� <br /> EH 23 070 (7/89)REVISED 0/3/91 89-19(IV) CNTMFR2 <br />