Laserfiche WebLink
PHS JOAOUIN COUNTY - ENVIRONMENTAL HEALTH DIVI,..04 <br /> LOP PROGRAM - MFR INPUT FORM <br /> 'kMA I <br /> UPDATE <br /> Ci SY M M IREVIEWED BY DATE ENTERED �/ /5 � BY �� <br /> ✓ [1 ADDITION: EDIT: Y <br /> ENTERED PILOT SJ/PHS CONTACT S WEEPS PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR N 39000 SUBSTANCE 01 <br /> SITE CODE D SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME [ vGV+ M2�5W1� �� ev DATE REPORTED <br /> ADDRESS �Y1 S P� DATE CONFIRMED <br /> CITY CA ZIP MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U G D 1 2 3 4 5 T 11 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U DATE UNDERWAY CC14PLETED 5 ,)5. 1 Z <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 COMPLETED <br /> ENFORCEMENT ACT TAKEN N ENFORCEMENT TYPE 2 3 A S 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION i 3 O Q R © 0 <br /> EXCAVATION STARTED CASE CLOSEb R H DATE CLOSED <br /> [REMEDIAL ACTION TAKEN Co C8 ED ET FP GT IT RS 'MMi} NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 O83(09/89)REVISEO 11/90 89-20(IV)01/90 PILMFA <br />