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PhINAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIODN <br /> A, LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 3. _ BY REVIEWED BY DATE ENTERED BY <br /> ��•���((( ADDITION- EDIT: ✓ / i <br /> ENTERED LOP 2, _ SJ/PNS CONTACT <br /> NOR SE T /j� / LO CODE DIST 3 2/ PROGRAM/ELEMENT CODE Z!qq- Z <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> SITE CODE 0 3 SOURCE OF FUNDS / FED EXEMPT Y / Q PETROLEUM ( / N <br /> SITE NAME Slt.-P�C� DATE REPORTED D <br /> ADDRESS �, / / - DATE CONFIRMED <br /> CITY CA 21P MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (D G D 1 2 4 5 7 8 9 3 -q- 7 ?- <br /> RP SEARCH I N R DATE UNDERWAY 3 , k4- 9 Z COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY CCMPLETED <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 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 V 3 (H SO © ® R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU RA VS <br /> _Primary / _Additional RESPONSIBLE PARTY <br /> COMPANY NAME ` PHONE <br /> CONTACT NAME /1 PHONE S t� / 3G <br /> ADDRESS <br /> CITY STATE I 21P <br /> Additional RPIS 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 />