Laserfiche WebLink
PN44d JOAQUIN COUNTY ENVIRONMENTAL HEALTH DIVI <br /> LOP PROGRAM - NFR INPUT FORM <br /> EI+OATEt '.FwA <br /> ,.o <br /> Ravirm 9Y ITE ENTai EED <br /> ON: EDIT: <br /> ENTERED PILOT D . SJ/PNS CONTACT �. erC.t�i�Il�Y1� .. SWEEPS 0 2ZZ3 PRIORITY <br /> NOR SENT 17 LOC CODE C DIST !��S PROGRAMJELEFR NT CODE 2-!�Z'7 <br /> V' SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 13M SUBSTANCE41 J /Zo a <br /> SITE CO ;T SOURCE OF FUNDS S / Q FED EXEMPT Y / PETROLEUM © / N <br /> SITE NAME (A DATE REPORTED V <br /> ADDRESS 14, 4 G. ,HAl?A•oQSI: r or"D DATE CONFIRM 0q 9.z. <br /> CITY CA ZIP ( 52 MULTIPLE RP's Yf / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U n G D 1 2 6 5 7 8 9 <br /> RP SEA= I N R DATE UNDERWAY COMPLETED 0. <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY Gl .2!3 G COMPLETED <br /> REMEDIAL INVESTIGATION U DATE UNDERWAY t ` COMPLETED <br /> REM®IAL_ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> S. } <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 i 5 6 DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 �} 3 ® ©S Q) �R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED ` <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS <br /> _V<Prfmry / Additions) RESPONSIBLE PARTY <br /> OON w NATE i�oen4 . oWsm PHONE <br /> �ONTRLT u.S ��+ ..�j Pw <br /> ADDRESS 1'.0• r7seo <br /> CITY `L _ STATE .3 ZIP <br /> =,iAWktenet U's listed an REVERSE SIDE tXiNTAMtNATED MFR INFO Oft REVERSE SIDE•s <br /> EN 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />