Laserfiche WebLink
/- p n�] PH40 JOADUIN COUNTY - ENVIRONMENTAL HEALTH DIV& <br /> q.�. 2c( /b(rn LOP PROGRAM - MFR INPUT FORM �' / [�✓!� ' <br /> UPDATE 8Y Ifjfy .n REVIEWED BY ) DATE ENTERED APR C BY <br /> ADDITION:— EDIT:_ <br /> ENTERED PILOT SJ/PNS CONTACT SWEEPS # PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATICN <br /> CONTRACTOR # 39000 SUBSTANCE #1 l <br /> SITE CODE SWROE OF FUNDS S / F FED EXEXPT Y / N PETROLELM Y / N <br /> SITE NAME �,�-�`�Y,/� <br /> DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> CITY <br /> sto C MULTIPLE RP's Y / N <br /> SITE STATUS I �J <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 yr, 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 El <br /> N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R M DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT 1T RS HU NA VS <br /> �nn_Primary/�/ I_A,dd1dittlia t RESPONSIBLE PARTY <br /> COMPANY NAME �a 4 1 y • ' +VC� 1 L W ( I t.C, <br /> PHONE ry <br /> CONTACT NAME �� I/1 PHONE -— �� � 1�79/I <br /> ADDRESSri <br /> y yD�� 68 j Lho.L9'hR-C *4 qQ <br /> J / n 5sZ t5 <br /> CITY C K STATE C / I ZIP / <br /> Additimal RP's listed m REVERSE SIDE CONTAMINATED MFR INFO W REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILXFA <br />