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PHS -e JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D1V1 ,--.?1 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 3 l J BY <br /> 1 -7n — REVIEWED BY DATE ENTERED ^,�} BY <br /> ADDITION• EDIT: <br /> — <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR tY39000 3`SUBSTANCE #1 �Qb / / 2 1 p 3 <br /> SITE CODE SOURCE OF FUNDS S / FED EXEMPT1 <br /> Y / ! N1 PETROLEW / N <br /> SITE NAME �7.�, � DATE REPORTEDZ <br /> ADDRESS 'J o2 S, DATE CONFIRMED 3� <br /> CITY CA ZIP 9S_-)'d3 MULTIPLE RP's � / 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 I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSI4ENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY CQMPLETED <br /> POST REM ACT kIONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCE14ENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 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[ NTT OT U <br /> Primary / ✓q MAR <br /> -RESPONSIBLE PARTY 2 8 99' <br /> NAME ��Y� PHONE <br /> lLl— <br /> CONTACT NAME PHONE <br /> ADDRESS �/lto <br /> CITY 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(I 01 0 PILMFA <br />