Laserfiche WebLink
IN COUNTY - ENVIRONMENTAL HEALTH,OIVIS'`�= '�. .:.-' • .� _ <br /> cNTAMINATED SITE D-Base MFR;- INPUT FORM .Ir rr= r <br /> ff ' � BYBOATS <br /> w Oq'era!EUPDATE: IL EVIEiED BY: ar DATEETEE <br /> A.. <br /> _. <br /> ESWEEPS/Sm CAGE 11-7 PROGRAWML„EHT. 2- , °- I# . . LOC CODE , 4IST <br /> PILOT FILE H W FILE SITE MITIGATION PWS FILE PRCY WELL FILE. ENV-ASSESS: <br /> STE AZO ti' FILE ; EPI FILE LAHD USE FILE OTHER AGENCY REPORT EMERGEiC" RESPONSE <br /> LEAD AGNCY/tINIT Son CONTACT OHS CONTACT <br /> ti <br /> OTHER CONTACT RWQC8.CONTACT WDR issued Y' f N NPOES issued <br /> (AILED PT StIIC T -. f GW CONT f J OW CONT TR�4EUN Y / N <br /> SIISSTANCE #1 <br /> #3 TA <br /> :95. <br /> ; <br /> PRIOR,FAILED AT NO ACTION CLEAN.,UP COMPI;ETE DATE ENFORCEMENT".:AGTEON. Y f. :N <br /> ENFORCEMENT TYPE., 1- 2 3 4 . 5 6 DATE ACTION TAKEN: f f <br /> SITE NAME ;: � " &4'- <br /> ADDRESS; 2 ,"_" <br /> CITY STATE ; -- Zip <br /> CONTACT NAME T'/I PHONI t <br /> 1 <br /> PROPERTY OWNER <br /> COMPANY NAME �C�re�{7 � PHONE <br /> CONTACT NAMEv <br /> PHONE <br /> >1 , ?.. <br /> ADDRESS P-9 <br /> CITY STATE <br /> RESPONSIBLE PARTY {if different free PropertY �}: <br /> pry <br /> COMPANY NAME X0 <br /> ,_ e PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> LM <br /> STATE ZiP <br /> ANT QNE <br /> DATE .. .- . PROP 55 S OA7E ..'�7 PRtORiTY <br /> R SITE STREET f APN #(7189)REVI5ED 03/91 :$9-19(IV) CNT ... - <br />