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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0543384
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
10/24/2018 9:51:37 PM
Creation date
10/24/2018 1:59:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0543384
PE
3528
FACILITY_ID
FA0005612
FACILITY_NAME
RUSSELL, LUTHER
STREET_NUMBER
23675
Direction
W
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
MANTECA
Zip
95336
APN
22608009
CURRENT_STATUS
02
SITE_LOCATION
23675 W AIRPORT WAY
P_LOCATION
04
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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PHSJOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIi <br />LOP PROGRAM - MFR INPUT FORM <br />UPDATE '] C 9� BY � REVIEWED BY DATE ENTERED Q 1C1 BY <br />! 1 i vv l <br />ADDITION• EDIT- <br />ENTERED PILOTRE& <br />39000 <br />SUBSTANCE <br />SJ/PHS CONTACT <br />fj t .., <br />i <br />SWEEPS # <br />Tr <br />PRIORITY <br />�[��j �r sw i1 <br />NOR SENT <br />qe& <br />�3 qb <br />LOC CODE <br />�� <br />DIST <br />% <br />PROGRAM <br />7 C},��g <br />iL <br />SITE SPECIFIC QUARTERLY REPORT INFORMATION <br />i <br />CONTRACTOR # <br />39000 <br />SUBSTANCE <br />#1 <br />�rj�/ JqV2 <br />l <br />Y <br />#3 <br />3 4 <br />ADDRESS <br />�[��j �r sw i1 <br />DATE CONFIRMED-- <br />ONFIRMED_CITY <br />RP SEARCH <br />CITY <br />SITE CODE <br />Z' <br />SOURCE OF FUNDS S /OF <br />FED EXEMPT:j� <br />Y 3/ <br />c� <br />PETROLEUM <br />/ N <br />SITE NAME <br />t_ /lS r _ _ p 1; <br />DATE REPORTEDAJ <br />y 8 <br />EMERGENCY RESPONSE <br />Y <br />1 2 <br />3 4 <br />ADDRESS <br />�[��j �r sw i1 <br />DATE CONFIRMED-- <br />ONFIRMED_CITY <br />RP SEARCH <br />CITY <br />I N <br />CA <br />ZIP <br />S �- <br />MULTIPLE RP's <br />Y / N <br />SITE STATUS <br />CASE TYPE <br />CONTRACT STATUS <br />STATUS CHANGE DATE <br />EMERGENCY RESPONSE <br />U 5 G D <br />1 2 <br />3 4 <br />5 7 8 <br />r� 3o q[ <br />RP SEARCH <br />S <br />I N <br />R <br />DATE UNDERWAYN <br />d <br />CCMPLETED <br />PRELIMINARY ASSESSMENT <br />UC <br />DATE UNDERWAY <br />C% I <br />COMPLETED <br />:773:4 I <br />REMEDIAL INVESTIGATION <br />U <br />DATE UNDERWAY <br />I <br />I! <br />COMPLETED <br />REMEDIAL ACTION <br />U <br />I C <br />DATE UNDERWAY <br />COMPLETED <br />POST REM ACT MONITORING <br />Y N <br />U C <br />DATE UNDERWAY <br />I <br />COMPLETED <br />ENFORCEMENT ACT TAKEN <br />Y N <br />ENFORCEMENT TYPE <br />if <br />1 2 3 4 <br />5 b <br />DATE ACTION TAKEN <br />LUFT CONSIDERATION <br />( 1 J 2 <br />C3) O <br />S C /A ) o� CW G <br />0� <br />EXCAVATION STARTED <br />CASE CLOSED <br />3� <br />Y R H <br />DATE CLOSED0 <br />REMEDIAL ACTION TAKEN <br />CD <br />CB ED <br />,i <br />ET FP GT j <br />IT'' <br />RS HU <br />NA VS <br />Primary / <br />Additional RESPONSIBLE PARTY <br />e <br />COMPANY NAME <br />7�%CIJ� s�,w <br />PHONE <br />�A p <br />U <br />CONTACT NAME <br />s <br />S <br />�i <br />PHONE <br />ADDRESS <br />CITY <br />!! <br />STATE: C ' <br />ZIP <br />G <br />I� <br />Ek;ditioniaL RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br />EH 23 083(09/89)REVISED 11/90 I 89-2D(IV)01/90 PILMFA <br />
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