Laserfiche WebLink
PH3 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIY '! <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE r_ BY f REYIEI7E% 6Y DATE ENTERED /e � 9Y <br /> K� "! :ADDITION- EDIT: CGS <br /> PRIORITY <br /> ENTERED PILOT SJ/PHS CONTACT,, �� SWEEPS # /�3 <br /> NOR SENT LOC CODE ST PROGRAMIELEMENT CODE � 7 Cp <br /> DI <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION 1 <br /> ECONTRACTOR # 39000 SUBSTANCE #1 2 <br /> ODE �� �� SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAMES r} } Cf� DATE REPORTED <br /> DATE CONFIRMED <br /> ADDRESS <br /> CITY 1 Y CA ZIP m MULTIPLE RP's Y / N <br /> .« SITE STATUS <br /> y - <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED ' <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY _ COMPLETED <br /> REMEDIAL INVESTIGATION U C s 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 Y N ENFORCEMENT TYPE 1 2 3 4 5 G 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 CD CB ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> * PHONE <br /> COMPANY NAME <br /> PHONE <br /> CONTACT NAME <br /> ADDRESS <br /> STATE ZIP <br /> CITY <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> 89-20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 11/90 <br />