Laserfiche WebLink
NPOES issued Y / N UDR issued OTHER CONTACT RUCC3 CCNTACT / <br />SJ/EH CONTACT t/Ictiki 5 OHS CONTACT LEAD AGNCY/UNIT <br />Ow CONT 1_13i)* TROLEUm I T / e <br />110-4-0‘, -41 115ocizJgs g90 13 SUBSTANCE 41 <br />FAILED PT 1 SOIL CCNT OW CUT <br />PRIOR FAILED PT 1 I NO ACTION CLEAN UP COMPLETE IDATE ENFORCEMENT ACTION Y / M <br />ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: / / <br /> <br />PHS/SA ,JAGUIN COUNTY - ENVIRONmENTAL HEALTH DIVISIC. <br />CONTAMINATED SITE 0-3ase MFR INPUT FORM <br />UPDATE: / / 3Y: EVIEUE0 3Y: DATE ENTERED: , 3Y: <br />4w, . II il.-/ I ,,,,,,- IL ,.. _• . ...- <br />LOC COOE 17 <br />V <br />DIST 4 <br />\ <br />I' <br />WEEPS/SITE COOE 6'2_51 <br />PROGRAM/ELEMENT 1 gl 53 CCMP $1 <br />UGT FILE ,,'OILOT FILE %,,e1 --W FILE 1.----11-1:E MITIGATION PUS FILE PRIV WELL FILE J I <br />1, <br />ASSESS <br />- <br />SOLID WASTE H20 0 FILE EP! FILE LAND USE FILE OTHER AGENCY REPORT 1.EMERGENCY RESPONSE <br />SITE NAME kcty. La u,Y-e_ GNope_x-4- , 1 <br />AOORESS 46 4:5 <br />CITY 1 91) et1-0/-) 1 STATE ICA ZIP 1 115z15 <br />CONTACT NAME -3-01Act-111\-C44f-N Wu' (0 ti`i.e i ,HcNE _ 4_1 451, 14,2,_4/ <br />PRCP RTY CWNER <br />COMPANY NAME kalriDee Po °per\ -rid- -.) <br />PHONE <br />CONTACT NAME No Actihcch Hari O 1 /4 A - 1 i2- PHONE 4( s 1-S 7-1 6, 2_ <br />ADORESS P c Boy. ES0 - 21( <br />CITY <br />SCV-1 iZg c-C{ ( <br />STATE I di- ZIP qq q /5 <br />RESPONSIBLE PARTY (If different from Property Owner) <br />COMPANY NAME PHONE <br />4- <br />CONTACT NAME <br />PHONE <br />ADORESS <br />4.z <br />.. <br />CITY STATE ZIP <br />Coolo (cal inxLtf CONSULTANT PHONE <br />UAR $ 1 i DATE LI. 5 .3 5 lp,c, 65 $ gi; 0 6 DATE 1 3.1'3 PRIORITY 1 <br />STREET $ ill 47[1( ,g SITE STREET . <br />1/0411- (IY 0 I A" 1 101."J D21- 32 <br />EH 23 070 (7i89)REVISED 03/91 89-19(IV) CNTMFR2