Laserfiche WebLink
WSAN JOAQUIN COUNTY- ENVIRONMENTAL HEALTH P ION <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE By REVIEf�IEO 8Y "` �11 DATE ENTERED C/ BY <br /> ADDITION: ✓ EDIT: <br /> ENTERED LOP I17 <br /> SJ/PHS CONTACT ;.: PRIORITY;; <br /> LOO COOE Cy DIST PROGRAM/ELEMENT CODE <br /> NOR SENT <br /> L�—IIC12_ 1 <br /> SITE SPECIFIC QUARTERLY.REPORT 'INFORMATION k <br /> CONTRACTOR # 39000:i SUBSTANCE #1 <br /> SITE CODE SOURCE OF FUNDS :/.r F'' FED EXEMPT Y / N PETROLEUM <br /> SITE NAME DATE REPORTED } <br /> ADDRESS <br /> 45 >, � � �,�� DATiE CONFIRMED <br /> h 3. <br /> CITY J CA ZIP MULTIPLE RP's Y I / <br /> x SITE STATUS <br /> CASE TYPE CONTRACT,STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U ;S G D 1 _ 3 4 5 7 $ 9 �f <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED '7Z <br /> PRELIMINARY ASSESSMENT cu) <br /> C DATE'UNDERWAY- L COMPLETED c . <br /> 1 �z <br /> REMEDIAL INVESTIGATION U C, DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> ;w <br /> POST REM ACT MONITORING YfN U C DATE UNDERWAY_ COMPLETED <br /> ENFORCEMENT ACT TAKENY N ENFORCEMENT TYPE : 12, 3 4 5" 6 DATE ACTION;TAKEN <br /> LUFT CONSIDERATION 1 / 2J 3 N (C OA ' Q aW G :i -0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED , ! <br /> REMEDIAL ACTION TAKEN . CD CB ED ET , FP: k GT IT RS NU NA VS <br /> Primary /1 Additional RESPONSIBLE PARTY ., a <br /> COMPANY NAME PHONE <br /> --�� �/-� <br /> CONTACT NAMEHONE '}0 g /`V r7 <br /> 1711 <br /> ADDRESSCY�� LCOS G <br /> CITY STATE 2Ip <br /> iZ <br /> Gam! o <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATEA MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED .11/90 r 89-20(IV)01/90 PILMFA <br /> a <br />