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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> LOP PROGRAM MFR INPUT FORM UPDATE 3 - �- pZ BY / REVIEWED BY DATE ENTERED BY <br /> ADDITION : EDIT : V/ <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE 9_ / <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION W <br /> CONTRACTOR # 39000 q SUBSTANCE #1 2 <br /> SITE CODE O / SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME . (-' DATE REPORTED a • / v- 92 <br /> ADDRESS �yp ! 1 c� �/) _/J _ DATE CONFIRMED 3 <br /> CITY CA Zip Z � MULTIPLE RP' s Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 7 8 9 3 - `/ - P2' <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION 0 C DATE UNDERWAY a , lfl� 122 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 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 NA 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 />