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PH`s AN JOAQUIN COUNTY - ENVIRONKENTAL HEALTH D 01 .03 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE Z 5_ ?2— BY REVIEWED BY DATES ENTERED <br /> ADDITION: EDIT: 1/ FEEJJJ vv�� <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE 01 <br /> SITE CODE / SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME ? 3 l q Z DATE REPORTED <br /> ADDRESS /(6 �^ DATE COUFIR14ED <br /> CITY T%�E c/� CSC ICA ZIP �ZO¢ XULTIPLE RP'u Y / 0 <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EFERGENCY RESPONSE <br /> U S G D 1 2 3 4 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 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU IIA VS <br /> Primary I Additional RESPONSIBLE PARTY <br /> COMPANY NAME 13 �-- Q1i PHONE <br /> CONTACT NAME PHO:JE Z O Co -� S]Z�• 7`U 772 <br /> ADDRESS //0 �16v f/y� 3D <br /> CITY 'L STATE ZIP <br /> Additional RP's Listod 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 />