Laserfiche WebLink
PNS, JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV1 <br /> //c;2 LOP PROGRAM - MFR INPUT FORM / <br /> UPDATE ` -' <br /> BY REVIEWED BY DATE ENTERED <br /> ADDITION EDIT: Y <br /> ENTERED PILOT SJ/PHS CONTACT 7SWEEPS # `//3 PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 3 <br /> SITE CODE 1 /� SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM / N <br /> SITE NAME DATE REPORTED <br /> ADDRESS � /� ._ %,�� <br /> DATE CONFIRMED <br /> CITY �! u CA ZIP c� MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY CC14PLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> 'EMEDIAL INVESTIGATION U xr_ 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 N ENFORCEMENT TYPET- <br /> 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL FP GT A VS <br /> S (� Primary / Additional RESPONSIBLE PARTY n n p <br /> COMPANY NAME j (' O �1 - D N� Z PHONE <br /> CONTACT NAME ]j •J /•C� PHONE <br /> ADDRESS 0.L� <br /> CITY [STATEjck. ZIP <br /> 7Ad tio�8l RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />