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PHS)kaA JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVt,.dN <br /> LOP PROGRAM - MFR INPUT FORM AUGC� X1(1(1/� <br /> UPDATE I BY REVIEWED BY DATE ENTERED NUG O 5 1994 BY <br /> ADDITION-_ EDIT:_ <br /> ENTERED LOP 1 SJ/PHS CONTACT ✓ PRIORITY <br /> NOR SENT ' I - 9L.F LOC CODE DIST ' PROGRAM/ELEMENT CODE 35 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 8 od / /_ IC/ 2 3 <br /> SITE CODE I �� O SOURCE OFUFIUDNIDOS II ll S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> 517E NAME 21-` DATE REPORTED 3 a� <br /> ADDRESS 44LAC �I- �` DATE CONFIRMED <br /> CITY CA I ZIP Glsa, ls MULTIPLE RP's Y / N <br /> c_ t <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U / S I G 0 1 2 3 4 5 6 7 8 <br /> RP SEARCH (--S I N R DATE UNDERWAY aG I ` COMPLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY a'� U 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 n N ENFORCEMENT TYPE O1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION O1 2 3 H O A R W G 0 • q- 7V <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> _Primary//�– YM_Additional RESPONSIBLE PARTY <br /> COMPANY NAME -UJ I, � N✓.y�rte_ PHONE <br /> CONTACT NAME P,�I�' C7� PHONE <br /> ADDRESS O 1 5 <br /> t 1 <br /> CITY 1.�. STATE I C"q ZIP <br /> Additi one 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 />