Laserfiche WebLink
PheN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DI ON <br /> LOP PROGRAM - MFR INPUT FORM <br /> WDATE BY REVIEWED BY T 7 7 DATE ENTERED BY <br /> ADDITION: EDIT <br /> ENTERED LOP SJ/PHS CONTACT ��'�� ) PRIORITY <br /> NOR SENT LOC CODE DIST l.c-�+c� PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION T' <br /> CONTRACTOR # 39000 SUBSTANCE #1 1 2 1 3 <br /> SITE CODE SOURCE OF FUNDS S / f FED EXEMPT Y / N PETROLEUM <br /> SITE NAME n, WON 0(196%- k) y DATE REPORTED <br /> Ln <br /> ADDRESS DATE CONFIRMED <br /> I � � <br /> CITY CA ZIP a53b e MULTIPLE RP's Y / GA <br /> PoN <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D "� 2 3 4 5 6 7 8 <br /> RP SEARCH I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT D C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL AC71ON U 1 C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 2 3 H © C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN GO CB ED ET FP GT IT RS HU NA VS VE NT OT U <br /> _Primary / _AdditionaL RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> Additional RPI& listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />