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PH"I,JOADUIN COUNTY - ENVIRONMENTAL"HEALTH D14 <br /> LOP PROGRAM - MFR INPUT FORM x <br /> A[REVIEWED <br /> DATE ENBY 3 <br /> i' <br /> ADDITION:- <br /> EDIT: <br /> ip 1 <br /> F. <br /> SWEEPS #-, �- -3 .> PRIORITY <br /> ENTERED PILOT E]LS,/PHSCONTACT �C, <br /> i , <br /> NOR SENT E I DIST 2 PROGRAM/ELEMENT CODE �7j SU <br /> F I v� <br /> ,fE <br /> SITE'SPECIFIC QUARTERLY REPORT INFORMATION: <br /> - 3 <br /> CONTRACTOR # 39000 SUBSTANCE #1 , <br /> SITE CODE SOURCE OF FUNDS S " / FED-EXEMPT Y / PETROLEUM / N �. <br /> DATE REPORTED <br /> SITE NAME I r c <br /> ��r n CQ v DATE C (FIRMED 6 r <br /> ADDRESS L� ll"✓!�J Sc� r <br /> CITY l��✓� =CA ( 5 ZOZ- MULTIPLE RP's Y / <br /> S Q_ c <br /> SITE STATUS <br /> CASE TYPE a . CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> TD <br /> U G D �1 2 III 3 '�. 4 5 7 8' 9 : e3 <br /> i <br /> RP SEARCH S 1 N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U G" DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U ci�)� DATE UNDERWAYj. L v. COMPLETED <br /> REMEDIAL ACTION U [ C DATE UNDERWAY "� Q` �� COMPLETED (r Li <br /> Y - - o <br /> POST REM ACT MONITORING Y illU II C GATE UNDERWAY i" COMPLETED <br /> f <br /> ENFORCEMENT ACT TAKEN Y it ENFORCEMENT TYPE 1 ! 2 3-" _ 4 5 6 DATE ACTION TAKEN <br /> nn � <br /> LUFT CONSIDERATION 1 1. 4;3 I3' (5 J "� A R W_ G 0 <br /> EXCAVATION:STARTED =CLOSED R H DATE CLOSED Jr Z� <br /> a <br /> REMEDIAL ACTION TAKEN CD 'CB 'i!!"" ED fT FP GT IT RS. HU NA V5 <br /> Primary / * Additionat RESPONSIBLE PARTY <br /> COMPANY NAME �{ e ::' © '� S C c_ PHONE 2 / _ -6 <br /> CONTACT NAME 4n �� i r . r PHONE 2.�� (�3 +7_O f s { <br /> ADDRESS <br /> :I [ ZIP �5 <br /> CITY STATE J <br /> Additional RP's Listed on REVERSE SIDE i' CONTAMINATED MFR ANFO on REVERSE- SIDE <br /> EH 23 083(09/89)REVISED 11/90 *, 89-20(IV)01/90 PILMFA <br /> q <br />