Laserfiche WebLink
.i <br /> A i <br /> PHS JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV'I. <br /> :1 LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY rn.1 ► 1 REVIEWED BY DATE ENTERED BY <br /> w <br /> L <br /> ADDITION: EDIT: <br /> «,a <br /> ENTERED PILOT /�. Gr SJ/PHS"CONTACT ���� SWEEPS,# (� * PRIORITY <br /> NOR SENT Z LOC CODE DIST, �� PROGRAM/ELEMENT CODE <br /> ,,SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE:;#1 i. 03 _ 5 <br /> SITE CODE 2n.3SOURCE'I F FUND5 /�(F FED EXEMPT- Y, / PETROLEUM ( Y J / N <br /> _ � �i 1 <br /> • t + <br /> SITE NAME n_ � '^�� a r� <br /> f"c r� l.A.�lJ Ai^is DATE REPORTED <br /> ADDRESS �d � �-f DATE CONFIRMED I I S <br /> v l _ <br /> CITY � � CA ZIP I cJ2C MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S D 1 2 3v: 4 O °'.8 9 <br /> r 7 fp [r <br /> RP SEARCH ( S J I N - R DATE UNDERWAY ��2(f �/ COMPLETED <br /> PRELIMINARY ASSESSMENT U rC j DATE UNDERWAY. �Z�3��Tc. COMPLETED 10rj(p��� <br /> REMEDIAL INVESTIGATION 4(,G DATE UNDERWAY I �fl�f ` 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 Y N ENFORCEMENT TYPE' k 1. 2 3 4., . . 5, G DATE ACTION-TAKEN <br /> LOFT-CONSIDERATION 1 2 H S, C A. . � -R W G, . 0 <br /> EXCAVATION STARTED_ �h... CASE CLOSED �.Y ' �.._R ', H _ ,, ,x DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP r GT IT...,. . RS HU HA VS <br /> N Primary./ Additional RESPONSIBLE PARTY x� <br /> COMPANY NAME Y _ PHONE::- 1r3D L <br /> CONTACT NAME � �,' � • PHONE ! <br /> ADDRESS <br /> CITYap� STATE ZIP <br /> "" G_✓ LLL 1 <br /> Additional-RP'S listed on REVERSE SIDE ,CONTAMINATED MFR INFO on REVERSE SIDE f <br /> i <br /> EH 23 083(09/89)REVISED 11/90 r' 89-20(IV)01/90 PILMFA <br />