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PHS/*" JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D1VI ,� i <br /> LOP PROGRAM MFR INPUT FORM q <br /> UPDATE BY � REVIEWED BY J DATE ENTEREDF 0��/ BY <br /> ADDITION• 1 EDIT <br /> ENTERED LOP �. SJ/PHS CONTACT Qzc'j-r— PRIORITY LApp <br /> NOR SENT {.�R, C/ LOC CODE1t EEO <br /> PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 39000 SUBSTANCE #1 �o7c,("(q 2 3 <br /> SOURCE OF FUNDS S / FED EXEMPT Y / NO PETROLEUM L'J / N <br /> SITE CO7DE (o-2. <br /> SITE NAME \ DATE REPORTED Z _l <br /> ADDRESS DATE CONF 1 RMED Z - 12 -7-5 <br /> CITY �u C� \ CA ZIP MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U ) G D 1 3 4 5 6 7 8 <br /> RP SEARCH CC) I N R DATE UNDERWAY (� COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED l �/ <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 7ENFORCEMENT TYPE / ) 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 a) 3 CH ® R W G 0o2g,Q <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED �w�/ 66 <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE p� NT OT /-P3 <br /> 1K <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> D�4- <br /> CONTACT NAME PHONE <br /> ADDRESS 11 ,1 <br /> [—CITY _1 W STATE � ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />