Laserfiche WebLink
PHS/*OAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIS� <br /> LOP PROGRAM - MFR INPUT FORM <br /> 2 , 1�, REVIEWED BY DATE ENTERED �s /z BY <br /> UPDATE ff t ( <br /> ADDITION: EDIT:__ <br /> 5 b / U C • (��i SWEEPS # (223 PRIORITY <br /> ENTERED PILOT Yj SJ/PHS CONTACT cJ I�JN ..J n <br /> NOR SENT LOC CODE O DIST 3 21 PROGRAM/ELEMENT CODE 4 3 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> �W fo(o I S <br /> SITE CODE //L23 SOURCE OF FUNDS S / F FED EXEMPT Y PETROLEI,M <br /> SITE NAME 5�Lj�_ DATE REPORTED 2 , LU`iO <br /> /� ,� I DATE CONFIRMED S. '2 0 <br /> ADDRESS /I 3 1 �i�J LiIcy c /'J V <br /> CITY tv�r�� //��, CA 2IP q�20 MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S 0 D 1 2 3 4 7 8 <br /> RP SEARCH O I N R DATE UNDERWAY h - / . �(� COMPLETED <br /> PRELIMINARY ASSESSMENT L DATE UNDERWAY '.� , 2 • �(� CCMPLETED <br /> REMEDIAL INVESTIGATION U 91,G DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION ky <br /> I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN ENFORCEMENT TYPE 1 2 3 4 5 16 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 © O O © U U O ® 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> Primary / _Additional RESPONSIBLE PARTY <br /> PHONE <br /> COMPANY NAME <br /> CONTACT NAME '1. S• I I , PHONE 1� ¢�/1 7' i4 2 <br /> ADDRESS 3� U wIIW, ! 1 tj -51-COl� <br /> CITY /I.r.n r,�—yr ✓W STATE (IjL 2IP 9C�.-�j•Zp <br /> AdditionaL RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />