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PH JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV)k <br /> ��11.. LOP PROGRAM - MFR INPUT FORM q(] <br /> LIPOATE ! G/ " BY r /L REVI EKED BY DATE ENTERED , � � 994 BY <br /> / M <br /> ADDITION; EDIT: <br /> ENTERED LOP /, SJ/PHS CONTACT //M PRIORITY <br /> 7 kz <br /> NOR SENT . LOC CODE (I/ DIST ��( PROGRAM/ELEMENT CODE �S 2 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 (70n&,(, L 2 1 3 <br /> SITE CODE 1 /6 l7 SOURCE OF FUNDS S /`F) FED EXEMPT Y / / N PETROLEW D / N <br /> SITE NAME ! # DATE REPORTED <br /> ADDRESS ��� �lf, ( cJ�{iL "i/(i DATE CONFIRMED <br /> CITY CA I ZIP 9S� MULTIPLE RP'sY / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D\\ 1 2 3 4 5 6 7 8 <br /> RP SEARCH �S 1' 1 N R DATE UNDERWAY I ) COMPLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY r �I S' Cr COMPLETED <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 ENFORCEMENT TYPE 1 <br /> 1 2 3 4 5 6 DATES ACTION TAKEN <br /> LUFT CONSIDERATION 2 3 H s C ./ A R W G 0 <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 /> COMls(PANY NAME PHONE � °) (>I <br /> 2.4 0 7 <br /> CONTACT NAME {�J�-t�- �( .l(Iti PHONE <br /> ADDRESS I(T ,�, � � oc) <br /> CITY :3Cenr n �.m— STATE / A ZIP 9 �8� 6 6 <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 />