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rt <br /> P Qm JOAQUIN COUNTY MENTAt <br /> LOP PROGRAM - ,HEALTH.Dti�pN <br /> UPDATE MFR Impu <br /> q q . . <br /> B l� REVI D sr <br /> DATENTERED <br /> i OY <br /> ADDITION;,r�� EDIT: <br /> VIP ENTERED LOP <br /> SJONS CWAC7` <br /> SENT PRIORITY <br /> `7 ltoc CODED2 Nitsr <br /> PRpCRJ IIEL EN, CM <br /> ` 2;6 <br /> SITE SPECIFIC QUARTERLY REPORT IN <br /> FORNtATYtMd <br /> COATRACTN)R# 3fN00 S67Ii5TAFtGE;t1 <br /> 51TE CODE" II <br /> I "I ' ., wmm OF-FUNDS S / FED EXEMPT; Y <br /> / PETROLEUM Y / N <br /> SITE'tNAME r � i <br /> DATE REPORTED 1 <br /> ADDRESS ' <br /> ' { DATE CONFIRMED <br /> CITY u <br /> rcA ZIP `/�ea�?" 3 ` <br /> +' MULTIPLE RP s <br /> SITE STATUS ;# <br /> CASE TYPE CONTRACT STATUS? <br /> 4 STATUS CHANCE DATE EMERGENCY RESPONSE <br /> CI S p 1 Z:: 3 4 7" 8 9 : <br /> - i. <br /> RP SEARCH S t N R DATE UNDERWAY s <br /> � '- t f NiMPf:>rTED2' <br /> PRELIMINARY ASSESWNNT U. C . DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION . C. DATE UNDERWAY COMPLEfE1J' <br /> REMEDIAL ACTION NJ:. I: DATE UNDERWAY COMPLETED <br /> POST REM ACf NOC DATE UNDERWAY � i�IPCETEO <br /> NNI1tiRI.NG Y N LI <br /> 1i <br /> 9�t5 ENFORCEMENt ACT TAKEN N ENFORCEMENT TYPE 2 3 # 5 .b. 0l4TI:,:ACTION TAKEN <br /> LUFT CONSIDERATION 1 <br /> EXCAVATION STARTED CASE CLOSED "` Y RN DATE CLOSED Al <br /> REMEDIAL ACTION TAKEN CDcaED ET FP 6T i�' IT RS NU 14A VS <br /> is <br /> Additional RESPONSIBLE PARTY <br /> COMPANY NAME r PHONE i <br /> CONTACT NAME <br /> r PHONE <br /> ADDRESS f�L fC <br /> CITY1 /1//�' STATE2IP f � <br /> _ s <br /> Ld:diional 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 PILKFA <br />