Laserfiche WebLink
PH* JOAOUIN COUNTY - ENVIRONMENTAL HEALTH DIV <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE G� BY REVIEWED BY DATE ENTERED /, /�"/ BY <br /> ADDITION:—' EDIT:__ <br /> SJ/PHS CONTACT SWEEPS # I �(..� PRIORITY <br /> ENTERED PILOT � (���� � � � v�r�Z,t._ _ l VJ <br /> NOR SENT LOC CODE DIST 2PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> SITE LCOE SOURCE OF FUNDS S / /F7 FED EXEMPT Y / �N� PETROLEUM / N <br /> SITE NAME j� �h� ;J �� -� ` l lj DATE REPORTED <br /> l DATE CONFIRMED <br /> ADDRESS Lz, <br /> CITY l CA ZIP �1���� /`.�� MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S � D 1 2 3 4 5 7 8 9 <br /> RP SEARCH 0 I N R DATE UNDERWAY i1 COMPLETED 3 <br /> PRELIMINARY ASSESSMENT U C <br /> DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U <br /> C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U 1 C <br /> DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY <br /> COMPLETED <br /> ENFORCEMENT ALT TAKEN Y N ENFORCEMENT TYPE 1 2 3 4 5 6 <br /> DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED <br /> CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> —zprimary / _Additional RESPONSIBLE PARTY <br /> COMPANY NAMEL�[' PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> STATE ��',;� ZIP <br /> CITY <br /> Additional RP's listed on REVERSE SIDE <br /> CONTAMINATED MFR INFO on REVERSE SIDE <br /> 89-20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 11/90 <br />