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PHSb R JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVL,,A <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE I� R BY REVIEWED BY DATE ENTERED MAR O 7 1 1994 BY <br /> ADDITION• EDIT• ✓ aro i <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> -] _._, <br /> MOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR * 39000 SUBSTANCE #1 2 1 3 <br /> SITE CODE lq SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAMEczt� / „ � DATE REPORTED <br /> ADDRESS V v - - DATE CONFIRMED <br /> CITY 1 Q ,.I . CA ZIP MULTIPLE RP's Y / N <br /> ���------���(JJJ���^^��� SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 S 6 7 8 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED -21 6t I <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 Y N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED FOY R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> Additional 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 />