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pp pp yy �m 199 PHS JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIIWA <br /> 14�t4�9. ` IJ.7�� LOP PROGRAM - MFR INPUT FORM <br /> 1 Z�o <br /> UPDATE 3 % BY 1 �S REVIENED BY GATE ENTERED j 8Y <br /> v JJ ADDITION: EDIT: <br /> ENTERED LOP 2 2- <br /> 4' SJ/PHS CONTACT PRIORITY ID <br /> NOR SENT �s/LLT LOC CODE _3 DIST ? PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 3990-+00 SUBSTANCE #1 2032_ 2 1 /2_()3 3 <br /> SITE CODE ` S J SOURCE OF FUNDS S / FED EXEMPT Y / PETROLEUM Y / M <br /> SITE NAME J )k / vyp �/ DATE REPORTED L/ Z 3 <br /> ADDRESS /! LDATE CONFIRMED / (/ O 3 <br /> CITY //y.0 CA ZIP Kf7 MULTIPLE RP's Y 666/ J� <br /> / ' u SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U 0 G D� 3 4 5 6 7 8 <br /> RP SEARCH �F 5 1 1 N R DATE UNDERWAY 3_ COMPLETED 'Z <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I CDATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN © N ENFORCEMENT TYPE E� 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3 Q W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT 1T RS HU NA VS L VE NT OT UK <br /> �r unary / _Additional RESPONSIBLE PARTY MAR 1 <br /> COMPANY NAME PHONE <br /> omai' �1- J <br /> CONTACT NAME <^ n PHONE f O Q/s-- 7 <br /> ADDRESS Vv �-^ <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(IV)01/90 PILMFA <br />