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SITE INFORMATION AND CORRESPONDENCE
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2900 - Site Mitigation Program
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PR0234078
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
6/14/2019 4:57:56 PM
Creation date
6/14/2019 4:52:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0234078
PE
2951
FACILITY_ID
FA0003575
FACILITY_NAME
ANDERSON, WILLIAM
STREET_NUMBER
21018
Direction
E
STREET_NAME
COMSTOCK
STREET_TYPE
RD
City
LINDEN
Zip
95236
APN
09134001
CURRENT_STATUS
02
SITE_LOCATION
21018 E COMSTOCK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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PA� JOAQUIN COUNTY - ENVIRONKENTAL HEALTH DI4a-OH <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE aZt �J BY EKEREV71EWEDBY DATE ENTERED By <br /> ADDITION• EDIT: V <br /> eef 21199 <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE a�5 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 <br /> SITE CODE a 3�t�`l� SOURCE OF FUNDS S / F FED EXEMPT Y / H PETROLEUM Y / N <br /> SITE NAME 1,` , C, ` i DATE REPORTED <br /> ADDRESS Q V DATE CONFIRMED <br /> CITY Q F <br /> ZIP MULTIPLE RP's Y / N <br /> L lSITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 5 7 8 9 <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 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 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 p <br /> EXCAVATION STARTED -7)1,5113 CASE CLOSEDY R H DATE CLOSED 6 -f <br /> REMEDIAL ACTION TAKEN CD CS ED n FP GT IT RS HU HA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <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 11/90 89-20(IV)01/90 PILMFA <br />
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