Laserfiche WebLink
PH5'T,rnN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV13cdN <br /> LOP PROGRAM - MFR INPUT FORM <br /> [UPDATE BY REVIEWED BY DATE ENTERED W A Y 18 BY <br /> ADDITION: EDIT- ✓ <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODEPROGRAM/ELEMENT CODE <br /> DIST <br /> -. <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 39000 SUBSTANCE *1 <br /> SITE CODE I Z I� SOURCE OF FUNDS S / F FED EXEMPT I Y / N PETROLEUM Y / N <br /> SITE NAME no2 DATE REPORTED <br /> ADDRESS r Ql b DATE CONFIRMED <br /> CITY 4(•ifC- <br /> G CA 2IP Q� � MULTIPLE RP�s oY / N <br /> SITE STATUS (( <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S (�) D 1 2 3 4 5 T 8 9 <br /> RP SEARCH S I N R DATE UNDERLAY <br /> COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY <br /> COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY <br /> COMPLETED <br /> REMEDIAL ACTION U 1 C DATE UNDERWAY <br /> COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY <br /> COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 <br /> 2 3 4 5 6 DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 2 3 N S C A R <br /> W G p <br /> EXCAVATION STARTED �CLOSED Y R <br /> H [DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT <br /> 1T RS HU HA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME <br /> PHONE <br /> CONTACT <br /> CONTACT NAME f� <br /> PHONE <br /> ADDRESS <br /> CITY <br /> STATE 2IP � �� <br /> Additional Rps listed on REVERSE SIDE <br /> �TAMNATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 <br /> 89-20(IV)01/90 PILMFA <br />