Laserfiche WebLink
PHSW JOAGUIN COUNTY- ENVIRONMENTAL HEALTH;DIV <br /> LOP PROGRAM - MFR INPUT FORM.; <br /> UPDATE �� L]Z BY ]�A REVIEWED BY DATE ENTERED Y <br /> !! 'ry ADDITION: `)1 EDIT: <br /> ENTERED LOP SJ/PHS CONTACT =PRI�RITY <br /> NOR SENT LOC CODE DIST J`PROGRAM/ELEMENT CODE '. <br /> SITE SPECIFIC QUARTERLY REPORT INFORKA`IION �> <br /> CONTRACTOR # 34000 SUBSTANCE #1 _ <br /> SITE=CODE f p SOURCE OF FUNDS " S / F, FED "EXEMPT i> Y / N PETROLEUM Y / N i <br /> SITE NAMEp � �! a DATE REPORTED <br /> ADDRESS Lo+NeV Gravv,4--✓L+0 DATE CONFIRMED <br /> CITY S'�LZ� ��/} CA ZIP MULTIPLE RP's Y / N 5. <br /> ?: <br /> SITE STATUS <br /> k. CASE TYPE CONTRACT STATUS STATUS CHANGE DATE: EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 T 8 9 . ! <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br />` REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> L 1. <br /> POST REM ACT MONITORING` Y N U C <br /> DATE UNDERWAY COMPLETED.; <br /> . # <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3; 4 5 6 DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 2 3 H S C A R'. , W '' G 0 �. <br /> EXCAVATION STARTED CASE CLOSED Y R - H DATE CLOSED ;3 <br /> REMEDIAL ACTION TAKEN CD CB ED ET._ ;. FP- GT( 1T RS HU NA' VS '; <br /> imaiy /� _ Additional RESPONSIBLE PARTY <br /> COMPANY NAME �� Q 4 PHONE <br /> t CONTACTNAME PHONE' <br /> ADDRESS <br /> CITY �11(�1(�� [STATEl✓ z[` <br /> r <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(1V)01/90 PILMFA <br />