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PH� I JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVA <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE / f� BY A REVIEWED BY DATE ENTERED �2 BY <br /> 1 / ADDITION• EDIT:__,z <br /> ENTERED PILOT SJ/PHS CONTACT SWEEPS PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 6 F39000 SUBSTANCE Ni <br /> SITE CODE 1 SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME i DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> CITY CA 21P =51; MULTIPLE RP's YSITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> 1 <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S t N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U 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 5 6 DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN co CB ED ET FP GT IT RS HU MA VS <br /> Primary / AdditionaL RESPONSIBLE PARTY <br /> COMPANY WANE � � rrti� PHONE <br /> CONTACT NAME GA C� PHONE <br /> ADDRESS � S�' <br /> FCITY �l.l � �I�_�`�� � �� STATE �- 21P <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EN 23 083(09/89)REViSED 11/90 89-20(IV)01/90 PILMFA <br />