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JOAO= COUNTY - ENVIRONMENTAL HEALTH D ON <br /> LOP MFR SIDE A - ADDITICN:_� EDI <br /> D , <br /> UPDATE EY � y REVIEWED 3Y DATE ENTERED BY <br /> ENTERED LOP SJ/PHS CONTACT ALPHA CODE Crytq-4 PRIORITY <br /> NOR SENT. LOC CODE 01 SUPR DISI I °AUG/ELnZi 5s -'V(7 J/_ —LWD'R Y / N NPDES Y / N <br /> SITE,SPECIFIC QUARTERLY REPORT INFORMATION vv <br /> CONTRACTOR A 39000 SUBSTANCE k1 2 3 4 ts <br /> SITE CODE 1.lL11 OURCE OF FONDS °'@T S / F 9E0 ^r /_ N PETROLEUM Y / N <br /> SITE NAME /� DATE REPORTED <br /> ADDRESS J S aAr DATE CONFIRMED <br /> Q <br /> CITY _ p_ /f`N "lN -- 1 S_ C MULTIPLE RP's Y / N <br /> (�.� SITE STATUS J <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U s G D 1 z 3 a 5 ° 7 B <br /> RP SEARCH S I N R OATS UNDERWAY COMPL=D <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COFII+Le:nD <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCIENT ACT TAKEN Y N ENFORCS111ENT =9 1 _ 3 Y 5 ° DATE ACTION TAXr2M <br /> I= CONSIDERATION 1 2 3 R S C A R W G 0 <br /> EXCAVATION STARTED / / CASE CLO=T <br /> ASED Y 3 C L GATE C.OSED <br /> REMEDIAL ACTION TAKEN C3 SD ST FP T. IT RS RU HA VS VE NT OT UK <br /> Siam AND FILE STATUS <br /> DEPTH TO WATER S/ I_-NT WELLS NEARBY X500 T -1000 >2000 FT TYPE IR DOM PUB <br /> LAST SAMPLING DATE FLAG DATE OAR A PROP65 A <br /> CONTAMINATED SITE MFR - Md:__an:_ Wit:_ DATE <br /> UGT FILE FAILED PT / / SOIL CONT / / TW CONT / / OW CONT <br /> CONSULT CONTACT SHOOS CONTACT SC CONTACT <br /> STREET k SITE STREET APN <br /> PROPERTY OWNERS) AND ADDITIONAL RP'S NOTED ON SIDE 3 1 y N <br />