Laserfiche WebLink
PHS/ IOAOUIN COUNTY - ENVIRONMENTAL HEALTH DIV1S'� ` <br /> LOP PROGRAM - MFR INPUT FORM ` <br /> UPDATE IBY REVIEWED BY DATE ENTERED r BY <br /> ADDITION: EDIT <br /> ENTERED PILOT SJ/PHS CONTACT JL/ SWEEPS # d�s- PRIORITY <br /> COMP # VZZ 7-4 7 6 LOC CODED 1 DIST Z} PROGRAM/ELEMENT <br /> SITE SPECIFIC-4UARTERLYf REPORT INFORMATION <br /> CONTRACTOR # E00 <br /> SUBSTANCE #1 Z Z V5 <br /> _k <br /> SITE CODE 40 -75 SOURCE OF FUNDS S / F FED EXEMPT ! N PETROLEUM / N <br /> SITE NAME ri _ DATE REPORTED rJ <br /> L✓/� Cr/!S O/�+T/ ✓7zz <br /> ADDRESS DATE CONFIRMED <br /> OL <br /> CITY [ 1 G�1 _ - CA 1z,Ptq5z0& MULTIPLE RP's Y ! O <br /> ti SITE STATUS <br /> r <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE, EMERGENCY RESPONSE <br /> RP SEARCH I N R DATE.UNDERWAY / RC1 ( COMPLETED <br /> ASSESSMENT U C DATE UNDERWAY <br /> PRELIMINARYa � _ '� pCOMPLETED <br /> REMEDIAL INVESTIGATION U U� DATE UNDERWAY "' COMPLETED <br /> k <br /> _u. a <br /> REMEDIAL ACTION U � I C DATE UNDERWAY COMPLETED i <br /> } <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y H ENFORCEMENT TYPE 1 2 3'; 4 5 6 DATE ACTION TAKEN 9 <br /> LUFT CONSIDERATION 1 3 _ H S C A R W G 0' <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> - f <br /> REMEDIAL ACTION TAKEN CD CB ET SFP GT IT RS HU NA VS <br /> y <br /> Primary / Additional RESPONSIBLE PARTY - <br /> COMPANY NAME ` rG b r L t Li PHONE r i <br /> CONTACT NAME /' r l(C��l q a /• cis /� " PHONE I % 76 I <br /> ADDRESS <br /> Zc6- M <br /> CITY ��� STATE C� 71P Szo 6 <br /> Additional RP'S listed on REVERSE SIDE CONTAMINATED WR INFO on REVERSE SIDE <br /> 89-20(IV)01/90 PILMFA <br /> ER 23 083(09/89)REVISED 11/40 <br />