Laserfiche WebLink
PH; I JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV q <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE tI l v [BY REVIEWED BY DATE ENTERED BY <br /> ` ADDITION• EDIT: v <br /> ENTERED PILOT SJ/PHS CONTACT SWEEPS # PRIORITY <br /> COMP # LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION V <br /> CONTRACTOR # 139000 1 SUBSTANCE #1 V5 <br /> SITE CODE /37 / TRCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME n DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> CITY U� CA ZIP MULTIPLE RP's Y / N <br /> SITE STATUS <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 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 Y N ENFORCEMENT TYPE 1 2 3 4 5 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 CD CB ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE [zip <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> cu iv n9vfnoioo\DFtITCFn Mon 89-20(IV)01/90 PILMFA <br />