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PNS/SAN,vmwOA(XIN COUNTY - ENVIRONMENTAL HEALTH DIVISIL.,,W) <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE aj3 Q� BY SS REVIEWED BY DATE ENTERED BY <br /> ADDITION• VI/ EDIT•, / <br /> ENTERED LOP I(p q3 SJ/PHS CONTACT sssQ✓V PRIORITY <br /> NOR SENT 3 l—C3 LOC CODE DIST /1 S PROGRAM/ELEMENT CODE 3 Sa 7 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # r39000 SUBSTANCE #1 Odle <br /> SITE CODE 3 SOURCE OF FUNDS S / FED EXEMPT Y / N PETROLEUM / N <br /> SITE NAME s�GL m 6 DATE REPORTED b <br /> ADDRESS C(�y� GATE CONFIRMED �0 ?� <br /> CITY CA Zip 6 MULTIPLE RP's Y / I N 1 <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (S G D 1 2 4 5 6 T 21a3 1�3 <br /> RP SEARCH O I N R DATE UNDERWAY Q 3 g3 COMPLETED <br /> PRELIMINARY ASSESSMENT 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 YY N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN ( T/) N ENFORCEMENT TYPET - <br /> 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 g 3 o OC A R W G 0 <br /> EXCAVATION STARTED `✓ CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> ✓ primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME �S U y���I PHONE <br /> CONTACT NAME G�� [ r� y �, PHONE <br /> ADDRESS 3 J 7c� L ��I D 43 <br /> CITY ��m b STATE L/�/ ZIP 9s b <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br />\ EH 23 083(09/89)REVISED 8/92 B9-20(IV)01/90 PILMFA <br />