Laserfiche WebLink
PHS/SAI! JOAOUIN COUNTY - ENVIRONMENTAL HEALTH DIViS� <br /> CONTAMINATED SITE D-Base MFR - INPUT FORM <br /> UPDATE: 7 / t / BY: REVIEWED BY: DATE ENTERED: �J U,L 1/2 1994 <br /> SWEEPS/SIT/E CODE sb s 33 PROGRAM/ELEMENT 50 COMP # LOC CODE I D41 IDIkTjly <br /> UGT FILE PILOT FILE H W FILE SITE MITIGATIONWS FILE PRIV WELL FILE ENV ASSESS <br /> SOLID WASTE H2O a FILE EPI FILE LAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> LEAD AGNCY/UNIT SJ/EH CONTACT DNS CONTACT <br /> OTHER CONTACT RWaCB CONTACT WDR issued Y / NPDES issued <br /> FAILED PT SOIL CONT GW CONT DW CONT ETROLEUM Y / N <br /> SUBSTANCE #1 #2 #3 #4 #S <br /> PRIOR FAILED PT NO ACTION CLEAN UP COMPLETE Y DATE 7 11 OI� ENFORCEMENT ACTION Y / N <br /> ENFORCEMENT TYPE: 1 2 3 4 5 b DATE ACTION TAKEN: <br /> SITE NAME <br /> ADDRESS �p S <br /> CITY STATE C_,49- I ZIP �j 5 3 3 <br /> CONTACT NAME PHONE <br /> PROPERTY OWNER n <br /> COMPANY NAME f PHONE <br /> CONTACT NAME 111 PHONE <br /> ADDRESS `4 b 4t-- 2' <br /> CITY --Z STATE Cc� ZIP - 6 <br /> RESPONSIBLE PARTY (if different from Property Owner) <br /> COMPANY NAME _i PHONE <br /> CONTACT NAME VX//V/� <br /> C PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> CONSULTANT PHONE <br /> UAR # DATE PROP 65 # DATE PRIORITY <br /> c <br /> STREET # 1 SITE STREET APN # *�'C� _2�0� C1� <br /> EH 23 070 (7/89)REVISED 03/91 89-19(IV) CNTMFR2 vc / J 7 <br />