Laserfiche WebLink
PHS/SAoft.-JAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISIO. <br /> LOP PROGRAM - MFR 11 INPUT FORM 144 <br /> in <br /> Ea��E�, <br /> REV1fWED BY DATE ENTERED °"" BY—ADDITION: EDIT: <br /> PRIORITY <br /> ENTERED LOP SJ/PHS CONTACT <br /> NOR SENT LOC=CODE DIST PROGRAM/ELEMENT CODE 2 ,�g <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION 7 <br /> CONTRACTOR * 39000 SUBSTANCE #1 <br /> SITE CODE Z(� '� SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> J <br /> SITE NAME /, t DATE REPORTED <br /> ADDRESS � v DATE CONFIRMED <br /> CITY S CA ZIP Gj(� MULTIPLE RP's Y / N <br /> J SITE STATUS IWC <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U G D 1 2 3 (4 / 5 6 T 8 <br /> RP SEARCH S I N R �/ DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C' DATE UNDERWAY CC14PLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED /0 <br /> [REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <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 SLOE <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />