Laserfiche WebLink
i <br /> PHW JOAQUIN COUNTY '-.ENVIRONMENTAL HEALTH J�.Om <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY' REVIEWED BY DATE ENTERED BY <br /> ADDITION: EDIT: 4 <br /> ENTERED LOP SJ/PHS CONTACT / 5 PRIORITY <br /> NOR SENT ���` r2 LOC CODE �l DIST PROGRAFI/ELEMENT CODE <br /> i <br /> f SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> 1,1067 �y ! <br /> 7-,+ l <br /> SITE CODE SOURCE OF FUNDS S /!� FED EXEMPT Y / Cf4� PETROLEUM / N <br /> t <br /> SITE NAME �O DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> f' <br /> CITY p CA ZIP MULTIPLE RP's Y / V <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS -STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U G D 1 2 3 4 5 7 $ f <br /> RP SEARCH S I N R DATE UNDERWAY �. a t�� ' COMPLETED „zr <br /> PRELIMINARY ASSESSMENT U DATE UNDERWAY z COMPLETED f�r <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY. COMPLETED 6d <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POSY REM ACT MONITORING Y N U C y{ DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT.TYPE 1 2 Jx 3 4 -5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 . 2 3 DH S W G 0 <br /> Ial �'� 2 - <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 /, Addi tionaL RESPONSIBLE.PARTY JUN 2 9 199_ <br /> COMPANY NAME �: --- /�/J­ <br /> / PJiONE L21e <br /> f.,� � g <br /> CONTACT NAME s .1 -i PHONE r 6 D <br /> ADORES , 7 <br /> CITYZIP STATE` D <br /> C <br /> Additional RP's listed on REVERSE SIDE . _ CONTAMINATED-MFR INFO on REVERSE SIDE <br />{ <br /> EN 23 083(09/89)REVISED 11/90 _. 89-20(IV)01/90 PILMFA <br />