Laserfiche WebLink
PWS, AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D tjr'IM <br /> LOP PROGRAM - MFR INPUT FORM <br /> f ( � BY �crv) REVIEWE=BY __[�ENTERED BY <br /> UPDATE I � 1 l.. <br /> ADDITION: EDIT: 0 �g9a <br /> ENTERED LOP o ! O p—�� SJ/PHS CONTACT J vj c & PRIORITY Z Q <br /> NOR SENTLOC CODE 0 DIST <br /> Q 3 PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 ` 2 d � 2 3 <br /> SITE CODE - JSOURCF OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME !( A M A I) A INC. DATE REPORTED <br /> ADDRESS I 5 t4l C y 4 L v D. DATE CONFIRMED �-� -�13_q Z <br /> CITY S TOC R 701 CA ZIP J�Zc)b ! MULTIPLE RP's Y / <br /> SITE STATUS �•/ <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U ( S� G D 1 3 4 5 6 7 8 <br /> RP SEARCH { S I N R DATE UNDERWAY L�- _ COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I CDATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN \N ENFORCEMENT TYPE 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 12 J 3 1.HS C. ) R W G 0 <br /> EXCAVATION STARTED �� CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN JCD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> Primary / rAdAdi�tional RESPONSIBLE PARTY <br /> COMPANY NAME 1I� /�t � ! 1.! C PHONE ( art �l q- <br /> CONTACT NAME Y'�' ^ PHONE �i Jip D <br /> ADDRESS ' 5 , IRA C <br /> 1 w� <br /> CITY oI " STATE C ZIP ` <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />