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PNS/OJOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI� <br /> LOP PROGRAM - MFR INPUT FORM gg q(1(1�j <br /> UPDATE I 3 BY I I,Y r 1 REVIEWED BY �y 6.DATE ENTERED *, ,ty IJ�7J By <br /> 1 ADDITION:_ EDIT:— <br /> ENTERED LOP <br /> SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 2 3 <br /> SITE CODE ' 5`-I� SOURCE OF FUNDS 5 / F FED EXEMPT Y / N PETROLEUM Y / IN <br /> SITE NAME U�OL2 8() l DATE REPORTED <br /> ADDRESS SCZ�3 tl�1 DATE CONFIRMED <br /> W 1� <br /> CITYvi��[, CA FIP 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 5 6 7 B <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 O <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED 7 ItCwtv <br /> rl <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT <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 /> 89-20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 8/92 <br />