Laserfiche WebLink
PHS':P�AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVs;-,691 � a� 3 '�� <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE i JZS� 95 <br /> BY REVIEWED BY DATE ENTERED �I A� ��(� BY <br /> �,., <br /> ADDITION: EDIT• <br /> ENTERED LOP /'�5 q SJ/PHS CONTACT \� PRIORITY <br /> v W. <br /> NOR SEN ��Q� LOC CODE "1� FDIST `J PROGRAM/ELEMENT CODE 3S�� <br /> SITESPECIFICQUARTERLY REPORT INFORMATION <br /> CONTRACTOR 0 39000 SUBSTANCE #1 ` 2 3 <br /> SITE CODE �50 SOURCE OF FUNDS I S / FED EXEMPT Y / ® PETROLEUA / N <br /> SITE NAME n_ i DATE REPORTED t_ ' <br /> ADDRESS *Z41'743DATE CONFIRMED <br /> CITY CAZIP n � MUlT1PLE RP's Y / <br /> SITE STATUS "1 <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U a G D 1 O 3 4 5 6 7 8 <br /> RP SEARCH OS I N R DATE UNDERWAY _25.c COMPLETED l- up-96 <br /> PRELIMINARY ASSESSKENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY C004PLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN O N ENFORCEMENT TYPE 1O 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3 © R W G 0 1 _Z7'q,5 <br /> EXCAVATION STARTED vvv CASE CLOSED Y R C L DATE CLOSED 7 <br /> REMEDIAL ACTIN TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME SI hiLlik PHONE <br /> ADDRESS 4 <br /> CITY STATE CA ZIP <br /> Additional RP's 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 />