Laserfiche WebLink
PHS/SAN J1I4 COUNTY - ENVIRONMENTAL HEALTH DIVISION 0 <br /> CCHTAM19ATED SITE D-Base MFR • INPUT FORM <br /> p / / BY: <br /> UPDATE: //9 /9 BY° REVIEWED BY: GATE ENTERED: <br /> PROGRAM/ELEMENT COMP LOC CODE qq DIST <br /> SWEEPS/SITE CODE 29'6 D <br /> UGT FILE PILOT FILE H W FILE SITE MITIGATION PWS FILE PRIV WELL FILE <br /> ENV ASSESS <br /> SOLID WASTE H2O D FILE EPI FILE LAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> C,(IJ ujD /7 7.R SJ/EH CONTACT //� /�lv/V DHS CONTACT <br /> LEAD AGNCYNNIT V /C LCL <br /> OTHER CONTACT RWC3 CONTACT <br /> WOR issuM Y / N NPOES issued Y / N <br /> FAILED PT SOIL CONT <br /> GW CONT DW CONT ETROLEUM Y / H <br /> 93 � x8 <br /> SUBSTANCE 91 92 <br /> c NO ACTION CLEAN UP COMPLETE DATE <br /> ENFORCEMENT ACT ICN Y / N <br /> PRIOR FAILED PT <br /> ENFORCEMENT TYPE: 1 2 3 A 5 6 DATE ACTION TAKEN: <br /> SITE NAME <br /> AOCRSSS <br /> STATE I ZIP <br /> CITY <br /> PHONE <br /> CONTACT NAME <br /> PROPERTY OWNER <br /> PHONE <br /> COMPANY NAME <br /> PHONE <br /> CONTACT NAME <br /> ADDRESS <br /> STATE ZIP <br /> CITY <br /> RESPONSIBLE PARTY (If different from Property Omer) <br /> PHONE <br /> CCMPANY NAME <br /> PHONE <br /> CONTACT NAME <br /> ADDRESS <br /> STATE ZIP <br /> CITY <br /> PHONE <br /> CCNSULTANT <br /> DATE <br /> PROP 65 9 DATE <br /> UAR Y PR[CR[7Y <br /> APN x <br /> STREET x SITE STREET - <br /> EH 23 070 (7/89)REVISEO 03/91 89-T9([V) CATMFR2 <br />