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PH16 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH Or* <br /> UPDATE BY <br /> LOP PROGRAM - MFR INPUT FORM <br /> ✓ ��. <br /> REVIEWED BY <br /> DATE ENTERED <br /> 7 9 <br /> ADDITION By <br /> ENTERED PILOT <br /> SJ/PHS CONTACT <br /> i <br /> NOR SENT ,- n i SWEEPS # <br /> PRIORITY <br /> LOC CODE Ciq <br /> 4 DIST 7 <br /> PROGRAM/ELEMENT CODE e- <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 %-,C--3 2 <br /> SITE CODE CI �� <br /> �� '> SOURCE OF FUNDS S / F S <br /> FED EXEMPT y <br /> / N PETROLEUM Y�/ / N <br /> SITE NAME <br /> i <br /> ADDRESS <br /> �cac 1jr�' DATE REPORTED Z,/ <br /> ��Sa v17 "A <br /> CITY DATE CONFIRMEDL/� <br /> G � <br /> CA 21P y�"�37�, MULTIPLE RPs y / N <br /> SITE STATUS <br /> CASE TYPE <br /> CONTRACT STATUS <br /> STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 <br /> 4 5 <br /> RP SEARCH S I N <br /> R DATE UNDERWAY <br /> PRELIMINARY ASSESSMENT U C <br /> DATE UNDERWAY COMPLETED <br /> COMPLETED <br /> REMEDIAL INVESTIGATION U <br /> Ir DATE UNDERWAY <br /> COMPLETED <br /> REMEDIAL ACTION U I C <br /> DATE UNDERWAY <br /> COMPLETED <br /> POST REM ACT MONITORING Y N U C <br /> DATE UNDERWAY <br /> COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE <br /> 1 2 3 A 5 6 <br /> DATE ACTION TAKEN <br /> LU FT CONSIDERATION <br /> 1 2 3 H S C A <br /> R W G p <br /> EXCAVATION STARTED <br /> CASE CLOSED Y R H <br /> DATE CLOSED <br /> REMEDIAL ACTION TAKEN <br /> CD CB ED ET FP GT IT <br /> RS HU NA VS <br /> _ Primary / _AdditiDral RESPONSIBLE PARTY <br /> COMPANY NAME <br /> C f 4-� ' it c- ,/4, PHONE <br /> CONTACT NAME � �/S S- G'C _ v!7/ <br /> V1 �i �r /� � WZ PHONE <br /> ADDRESS <br /> ,X 7 <br /> CITY <br /> �Ci'I !-/'tACiiSCo STATE �� ZIP <br /> Gi <br /> Addltlonal RP's listed on REVERSE ^E CONTAMINATED MFR 1!'O0 on REVERSE SIDE <br /> E4 89-20(IV)01/90 PILMF,, <br />