Laserfiche WebLink
PHS*,,,o JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI,,,01 <br /> { LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 1-3 7_q BY REVIEWED BY DATE ENTERED BY <br /> J1 l ADDITION' EDIT: <br /> ENTERED PILOT `] SJ/PHS CONTACT SWEEPS it [37 =PRIORITY <br /> NOR SENT LOC CODE Or DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 0 T39000 ISUBSTANCE <br /> #1 <br /> SITE CODE 3 ! �,( SOURCE OF FUNDS I S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME !S± llbCi DATE REPORTED <br /> ADDRESS - DATE CONFIRMED 1 1� <br /> CITY LID � v JJJ CA ZIP q��i� (� MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U 6) G D 1 2 35 T 8 9 1 <br /> 9 3 <br /> RP SEARCH 1 S } I N R DATE UNDERWAY COMPLETED g l <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY f� COMPLETED - � <br /> REMEDIAL INVESTIGATION U A", DATE UNDERWAY ' 1 f COMPLETED <br /> REMEDIAL ACTION U I DATE UNDERWAY ( —Na COMPLETED <br /> POST REM ACT MONITORING Y / Nj U C DATE UNDERWAY l` COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 4 S 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3 C C- W G 0 (� J <br /> EXCAVATION STARTED j2 -� �j'� CASE CLOSED T R H DATE CLOSED <br /> REMEDIAL ACTION TAKENT <br /> CD 1 CB ED ET FP GT IT RS HU NA VS <br /> Primary 1 Additional RESPONSIBLE PARTY <br /> COMPANY NAME Loa G e rs PHONE O 0() <br /> CONTACT NAME -b z r S PHONE <br /> ADDRESS <br /> CITY O ' STATE G ZIP <br /> Additional 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 />