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PHS14 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE �//.- �'3 BY REVIEWED BY ATE ENTERED 7J BY <br /> ADDITION- EDIT: <br /> ENTERED LOP 1 5- -7--73 SJ/PHS CONTACT 11v1rw,?-1L1A PRIORITY q <br /> NOR SENT S.Z I,( LOC CODE 9 DIST 3; PROGRAM/ELEMENT CODE <br /> !! <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 �z-t;,5 (- 2 3 <br /> SITE CODE 70� SOURCE OF FUNDS S -/r/ � FED EXEMPT Y / lJ PETROLEUM � / N <br /> SITE NAME DATE REPORTED <br /> ADDRESS /_ ol- /L/�/Y"de,&' ^' 1 - � P DATE CONFIRMED �• z�• /3 <br /> CITY [[YY CA ZIP l��d� MULTIPLE RP's / N <br /> SITE STATUS l <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (D G D 1 2 30 4 5 6 7 8 S_ 7-93 <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I CDATE UNDERWAY CCMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 4 S 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 O2 3 0 OS D R OW V 0 5• a I- `� <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> _Primary / _AdditionaL RESPONSIBLE PARTY <br /> \ O COMPANY NAME PHONE <br /> A' NTACT NAME PHONE �05• ���}, b�i�(7 <br /> ADDRESS <br /> CITY STATE C 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 />