Laserfiche WebLink
PH: 1 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV 11 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE Gr { y BY REVIEWED-BY DATE ENTERED � BY f�G <br /> c/ ADDITION: EDIT: Ll �J <br /> ENTERED PILOT SJ/PHS CONTACT SWEEPS # PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> SITE CODE / .337SCURCE OF FUNDS S / F FED EXEMPT FY <br /> / N PETROLEUM Y / N <br /> SITE NAME DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> s r— <br /> CITY u CA ZIP MULTIPLE RP's Y / N <br /> SITE STATUS !. <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> 1 . <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY k COMPLETED <br /> ENFORCEMENT AZT TAM Y N ENFORCEMENT TYPE 1" 2 3 4 5 G DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A 'R W G A 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT -RS y HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY - <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> e <br /> ADDRESS ' <br /> CITY STATE ZIP <br /> » .. <br /> AdditiomL RA'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 />