Laserfiche WebLink
PHkwoN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIY,,,,�I <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY REVIEWED BY -4- DATE ENTERED - -��� BY <br /> ADDITION• EDIT: <br /> ENTERED PILOT S3/PHS CONTACT S�V SWEEPS # --��6/ ']3 PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE 2,q 2 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE 01 <br /> SITE CODE )l D� SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y ! N <br /> SITE NAME �//n A 1 "�1 —(o <br /> DATE REPORTED <br /> ADDRESS NQ <br /> DATE CONFIRMED <br /> CITY C�-� CA ZIP MULTIPLE RP's / N <br /> SITE STATUS <br /> CASE TYPE <br /> S� CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S 1 2 3 4 5 T 8 9 N <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y ) N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN N ENFORCEMENT TYPE 1 2 3 4 S 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN Co CS ED ET FP GT IT RS HU NA VS <br /> Primary / Additioml RESPONSIBLE PARTY !Q-Z,21-9�z r <br /> COMPANY NAME !1 1 n Coy,V PHONE <br /> CONTACT NAME ��+�(C!/) f- u Vlr9 ,/ PHONE / <br /> ADDRESS �. 5 b0-V <br /> CITY San �qvl-l71n STATE /r� ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />