Laserfiche WebLink
PH" JOAQUIN COUNTY ENVIRONMENTAL HEALTH DIA04 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE �� Cl CJ BY REVIEWED BY DATE ENTERED OCT 19 19941 BY <br /> I Xf? I <br /> l ADDITION• EDIT: <br /> �7 <br /> Elm <br /> 160 1 SJ/PHS CONTACT � PRIORITYSENT �� `Q, � LOC CODE DIST PROGRAWELEMENT CODE ���� <br /> `` SITE SPECIFIC IQUARTERLY REPORT INFORMATION <br /> CONTRACTOR S 39000 I SUBSTANCE all I goo(o i0 19 <br /> SITE CODE 465 SOURCE OF FUNDS S / FED EXEMPT Y / � PETROLEUM Y / N <br /> -] <br /> SITE NATE r DATE REPORTED / <br /> ADDRESS s s f DATE CONFIRMED L <br /> o � 1 L <br /> CITY \� CA ZIP F95- ! MULTIPLE RP's YSITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U G) G D 1 2 4 5 6 7 8 <br /> RP SEARCH S I N R DATE UNDERWAY f O )� COLLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY 1 O !'Cf Q (�1 COLLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY I ( 1 COLLETED <br /> REMEDIAL ACtION U I C, DATE UNDERWAY COMPLETED <br /> POST NO ACT MONITORING Y N U C DATE UNDERWAY C04PLETED <br /> ENFORCEMENT ACT TAKEN 0 N ENFORCEMENT TYPE � 2 3 4 5 6 DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 //// 2 H 0 i / A ) R W G 0 /O <br /> EXCAVATION STARTED CASE CLOSED Y R �.� C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> Primary / Additional RESPONSIBLE PARTY OCT 19 1994(YV <br /> COMPANY NAVE W PHONE j <br /> CONTACT NAME PHONE <br /> ADDRESS J S S <br /> CITY STATE ZIP <br /> Additions) RP1& listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EN 23 083(09/89)REVISED 8/92 89-2O(IV)01/90 PiLMFA <br />