Laserfiche WebLink
P JOAQUIN COUNTY - ENVIRONMENTAL HEALTH OI ION <br /> LOP PROGRAM MFR INPUT FORM <br /> UPDATE ]� I BY <br /> REVIEWED.BY <br /> DATE ENTERED , G�/; BY <br /> r ADDITION: y EDIT: 1 ALJ ` <br /> ENTERED LOP j� 1� SJ/PHS CONTACT 3 PRIORITY <br /> ;r <br /> NOR SENT I LOC CODE a DISTh. <br /> ;s ` PROGRAM/ELEMENT CODE <br /> SITE SPECIFICjQUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 vs <br /> SITE=CODE �� SOURCE OF FUNDS 8: / F FED EXEMPT Y / N PETROLEUM / N <br /> SITE NAME DATE REPORTED �7 <br /> ADDRESSj, Ll /�fiery DATE CONFIRMED 311 1 3 <br /> CITY �F [CA 21P S�CII MULTIPLE RP's Y <br /> €i SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3. . . 4 5 T S. 9 <br /> RP SEARCH S I N R 'DATE UNDERLAY ,/j/a COMPLETED t` <br /> r PRELIMINARY ASSESSMENT U C DATE UNDERLAY fGj` �5 COMPLETED <br /> REMEDIAL INVESTIGATION U C LIDATE UNDERLAY COMPLETED- <br /> fs , <br /> REMEDIAL ACTION U I C (DATE UNDERLAY COMPLETED <br /> POST REM ACT MONITORING Y H U C PATE UNDERLAY CCMPLETEDr: <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1. 2 3 4 .5 6 DATE ACTION TAKEN <br /> � 1 <br /> LOFT CONSIDERATION 1 2 3 H _S � R L G 0 <br /> EXCAVATION STARTED �t� CASE CLOSED Y R" u H DATE CLOSED <br /> REMEDIAL ACTION TAKEN co CB ED ET JP GT IT , RS HU ILA ' YS <br /> Primary /_ s Additional RESPONSIBLE PARTY., <br /> COMPANY NAME r €' --7 <br /> PHONE C f y) /S� <br /> CONTACT NAME /�, PHONE CSI .7Sz/� <br /> ADDRESS <br /> CITY STAYE Z[PDO <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EN 23 083(09/89)REVISED 11/90, 89-20(LY)01790 PILMFA <br />