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� � <br /> PFI�Aq JOAQUIN COUNTY - ENVIRONMENTAL HEiALTH DION <br /> LDP PROGRAM - MFRIINPUT FORM <br /> UPDATE 9-zg, 9Z BY REVJ IEUED BY �5�4 DATE tNTEREDI; /Q„�� BY <br /> j ADDITION: EDIT; IIIIi G <br /> ENTERED LOP 5J/AMS CONTACT ll lrtlx d PRIORITY <br /> O / <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMitNT CODE '� <br /> 99 3Z3i E 271 <br /> j SITE SPECIFIC QUARTERLY REPORT 1NFOR'MATION:1 <br /> 11 CONTRACTOR # 39000 SUBSTANCE #1 f <br /> SITE CODE f%Z Z SOURCE OF FUNDS S / f, FED EXEMPT Y / {I PETROLEUMYQ ! N <br /> SITE NAME // yL f Q i <br /> (�i/�liL a GC j it DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> CITY <br /> CA'i ZIP R5 z�!5 MULTIPLE RP's; Y / <br /> SITE STATUS <br /> IN <br />'F <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> i <br /> U Q G D 1 2 3 4 5 T 8 q <br /> r <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY i' COMPLETED <br /> } <br /> REMEDIAL ACTION U 1 © DATE UNDERWAY COMPLETED <br /> i <br /> POST REM ACT MONITORING Y ` N U C DATE UNDERWAY <br /> lfi COMPLETED <br /> ENFORCEMENT ACT TAKEN YN ENFORCEMENT TYPE 1 j 2 3 g4 5 6 DATE ACTION TAKEN <br /> ,. <br /> LUFT CONSIDERATION 1 2 3 N S C3 <br /> A R�� U;� G 0 <br /> EXCAVATION STARTEDCASE CLOSED Y R iFH <br /> f l- l3• p� GATE CLOSED �q <br /> REMEDIAL ACTION TAKEN CD co ED ET FP GT It. RS HU IUt VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAMEPH <br /> f/ <br /> ONE ` <br /> I <br /> 1 <br />' <br /> CONTACT NAME PHONE <br /> ADDRESS 6 :_ <br /> CITY — ' STATE ZIP <br /> r <br /> FAdditionat RP s listed on REVERSE SIDE <br /> i CONTAMINATED MFR, INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90! :r 89-20(IV)01/90 PILMFA <br />