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Pi,WAAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIv�I10" <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE gY /22_ REVIEWED BY DATE ENTERED BY <br /> O <br /> ADDITION: EDIT• <br /> ENTERED LOP SJ/PHS CONTACT i TPRIORITY <br /> NOR SENTXe�" LOC CODE DISTI ��] <br /> PROGRAM/ELEMENT CODE G r '"7 <br /> SITE SPECIFIC QUARTERLY REPORT INFOR14ATICU / <br /> CONTRACTOR # 39000 SUBSTANCE #1 b <br /> SITE CODE 2 5 SOURCE OF FUNDS / F FED EXEMPT Y / PETROLEUM Y / N <br /> SITE NAME / r/a Z3S DATE REPORTED 1-1,31 <br /> ADDRESS / a �( DATE CONFIRMED <br /> CITY v <br /> TCA]ZIPaI1.5 MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> S G D 1 4 5 7 8 9 -� <br /> RP SEARCH S I N R DATE UNDERWAY �s C PLETED <br /> PRELIMINARY ASSESSMENT nu <br /> C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING �Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN 'N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 ( 2 J 3 U ()C GAJ /"® W G 0I,'23r� <br /> EXCAVATION STARTED / CASE CLOSED Y R N DATE CLOSED L <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME t1 PHONE �ZOof :Z_ <br /> ADDRESS <br /> CITY /O� � STATE t/�i 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 />