Laserfiche WebLink
PHS,.—.il JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVA., <br /> LOP PROGRAM - MFR INPUT FORM y <br /> UPDATE I i_ `�J 4 BY I � REVIEWED BY DATE ENTERED WOV ka 1994 BY <br /> L� <br /> ADDITION: V/ EDIT: ( I <br /> ENTERED LOP _9� SJ/PHS CONTACT Ro fie✓ PRIORITY <br /> LOP D <br /> NOR SENT LOC CODE 5 DIST C PROGRAM/ELEMENT CODE Z� +-U r <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 1 SUBSTANCE #1 lrl D5 2 3 <br /> SITE CODE SOURCE OF FUNDS S / FED EXEMPT Y / © PETROLEUM �Y / N <br /> SITE NAMEQn� �* DATE REPORTED <br /> ADDRESS 12� w DATE CONFIRMED <br /> CITY CA ZIP 3b� MULTIPLE RP's Y / ON <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (S G 0 1 3 4 5 6 7 8 <br /> RP SEARCH Ds I N R DATE UNDERWAY `�,_,Q f'- COMPLETED !•��_C� <br /> PRELIMINARY ASSESSMENT »> C DATE UNDERWAY COMPLETED ! <br /> REMEDIAL INVESTIGATION U C 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 TYPT (9 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 ® 3 �5 C A R W G 0 <br /> r <br /> EXCAVATION STARTED CASE CLOSED Y R C L' DATE CLOSEDV `� <br /> REMEDIAL ACTION TAKEN CD -CB £D ET FP GT IT RS HU NA fEy VS VE i'' 'NT OT Q <br /> Primary / AdditionaL RESPONSIBLE PARTY <br /> COMPANY NAME / PHONE <br /> CONTACT NAME PHONE <br /> J <br /> ADDRESS <br /> CITY S t STATE C� 2IP <br /> Addi#ionaL, RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE , <br /> V <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01190 PILMFA <br />