Laserfiche WebLink
PH* JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIY•N <br /> Ate' LOP PROGRAM - MFR� INPUT FORM <br /> UPDATE �/ 7 Z BY REVIEWED BY \ �., DATE ENTERED 1�--�L(.-q BY <br /> L ADDITION:__ EDIT: <br /> ENTERED PILOT 6 P SJ/PHS CONTACT / / I SWEEPS 9 PRIORITY <br /> v Oro /✓f.f <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR M 39000 SUBSTANCE #1 <br /> SITE CODE / SOURCE OF FUNDS S / FED EXEMPT Y / PETROLEUM / N <br /> SITE NAME � G, / DATE REPORTED /O <br /> ADDRESS /// / N DATE CONFIRMED <br /> CITY CA ZIP 9�7D[� MULTIPLE RP's Y <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGEDATEEMERGENCY RESPONSE <br /> U S & D 1 2 3 5 7 8 9 Z <br /> RP SEARCH I N R DATE UNDERWAY 7 pCD• COMPLETED / <br /> PRELIMINARY ASSESSMENT / U J C DATE UNDERWAY J o , COMPLETED / <br /> REMEDIAL INVESTIGATION l U VIC DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y M ENFORCEMENT TYPE 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 CH,) 1 5 / C 0 / a 1 O 0 , <br /> EXCAVATION STARTED CASE CLOSED l/ Y R �/ H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> —allprimer- / _Additional RESPONSIBLE PARTY <br /> COMPANY NAME �� ! PHONE L/Ci 617 <br /> /' <br /> CONTACT NAME �/ ' PHONE �DQ (p �Li7 <br /> ADDRESS r17 <br /> CITY t5G y o� STATEr 2IP 9l a�� <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISEO 11/90 89-20(IV)01/90 PILMFA <br />