Laserfiche WebLink
PHS/� tN COUNTY - ENVIRON1ENTAL NEALTN DIVI <br /> CONTAMINATED SITE D-Base MFR - INPUT FORM �- <br /> WCATE: <br /> SWEVIWSITE =9 19294 B 101: 83 fig <br /> UGT FILE LOP FILE N M FILE JISITE MITIOATEONN PYS FILE PRIV WELL FILE" ENV ASSESS <br /> SOLID w m QO a FILE EPI FILE LAUD 111E FILE RESPONSE <br /> 00NTACT i�FI,�.CLNl4 DIA! CONTACT <br /> OTHER CONTACT RHCGB CONTACT WER issued' Y / N NPOEB iY / N <br /> FAILED RT / / . ' OM Cm <br /> , a A4 t5 <br /> PRIOR FAILED PT NO ACTION CLEAN {R 00!lPLETE Y DATE / / ENFORtE1ENT ACTICN Y I N <br /> ENFORCEMENT TYPE: 1 2 3 4 S 6 DATE ACTION TAKEN:`/ J <br /> SITE NAME <br /> ADDRESS - -- — — _ <br /> CITY STATE V> 3IP. <br /> v� f <br /> CONTACT NATE /T tri 6► P. J' /V�uM�Mt/�¢N PNCE <br /> PROPERTY DATER <br /> GAMY NAME PNONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> RESPONSIBLE PARTY (If different frm Property Owner) <br /> COMPANY NAME I,, PHOW <br /> CONTACT NATE lM L P"W <br /> f <br /> ADDRESS <br /> CITY (TATE ZIP 949 / <br /> CONSULTANT _. PNOW <br /> UAR UU at[TY <br /> DATE <br /> g <br /> STREET N 325 SITE STREET ,- -- IArVC G�p/JJp r- APN E � •Dom 'O <br /> EH 23 070 (7/89)REVISED 03/91 89-19(1" CNTMFR2 ���" <br />