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i <br /> JJ }fes` <br /> PHSkJ"JOAQUIN COUNTY - ENVIRONMENTAL`HEALTH DIVI�.,,.,! <br /> LOP PROGRAM M R i PUT FORM <br /> UPDATE . BY ati REVIEWED 8Y DATE TEREO ti "BYA <br /> ADDITION: EDIT: <br /> ENTERED•LOP SJ/PHS CONTACT �G PRIORITY <br /> NOR SENT ab =CODE � DIST 'l��J. PROGRAM/ELEMENT CODE <br /> 1 ` , <br /> - r - - SITE SPECIFIC QUARTERLY REPORT -INFORMATION - <br /> CONTRACTOR * F39000 SUBSTANCE IQui? 2 3 - --- <br /> SITE CODE-1631 SOURCE <br /> !!OF FUNDS S / F FED EXEMPT Y_ / ( N J PETROLEUM Y t / -- N <br /> SITE NAME DATE REPORTED 41171ge 7 <br /> ADDRESS DD DATE CONFIRMED <br /> CITY e © CAI <br /> ZIP l��� MULTIPLE RPrs Y <br /> t SITE STATUS 9 cZ/O� <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE. EMERGENCY RESPONSE <br /> U 5 G D 1 2 4 5 6 7 8 Q' <br /> RP SEARCH ( S J I N R DATE UNDERWAY 4 (J COMPLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY COMPLETED G L <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED a <br /> REMEDIAL ACTION U I. C' DATE UNDERWAY COMPLETED <br /> POST REM ACT-MONITORING Y N U C DATE UNDERWAY- -K - u COMPLETED <br /> ENFORCEMENT ACT•TAKEN - Y N. ENFORCEMENT TYPE 2 3 4- 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3 H C W :.. G 0- <br /> EXCAVATION STARTED - CASE CLOSED Y - R. C L' _ DATE CLOSED <br /> t. 1`` J. <br /> =;D; <br /> ' nNt _k. tREMEDIAL''ACT ION TAKEED ET = • FP• GT I T -= R5� HU, SNA + VS s: VE NT OT UK. <br /> ." .•H�Y4ti, a.�,�k-. ��:3'\e^� -- <br /> P�iinary % ' -''Addit Qt RESPONSIBLE PARTY AUG ® 61993 <br /> [COMPANY ol s�ts� ~: �. _ HONE <br /> 9 — <br /> INTACT NAME` :.�. .. hA' `PHONE�. .' <br /> _ <br /> '6\ADDRESS J <br /> 1 <br /> CITY; Sd_ 2�E TATEI ///� z <br /> J; C) G" <br /> 11 -Additionat RPYsltisted on REVERSE SIDE CpONTAMINATED MFR INFO on REVERSE SIDE, <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />