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PNS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISION <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 3 �� g3 BY REVIEWED BY DATE ENTERED BY <br /> ADDITION• EDIT- <br /> —[ <br /> ENTERED PILOT SJ/PHS CONTACT <br /> SWEEPS PRIORITY <br /> NOR SENT LOC CODE T <br /> DIST PROD M/ELEMENT CODE 52 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION J <br /> CONTRACTOR N 39000 SUBSTANCE N1 <br /> SITE CODE !D SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEU4 Y / N <br /> SITE NAME fln DATE REPORTED <br /> ADDRESS f � �/Lu� DATE CONFIRMED <br /> CITY I.D.J,�,� CA ZIP MULTIPLE RP's Y / ON <br /> [-vCi1u►� SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U CS) G D 1 2 3 4 5 7 8 O9 3 ri�r f 3 f <br /> RP SEARCH S I 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 DATE UNDERWAY 2l{D Z COMPLETED G) Z <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 /> -rt -q <br /> EXCAVATION STARTED CASE CLOSED R H DATE CLOSED Z-Ito <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS <br /> n Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME l' ' PHONE � <br /> Z 9 <br /> CONTACT NAME u PHONE ' <br /> ADDRESS -±Z6 <br /> CITY STATE ZIP G�� Z <br /> Additions( RP's Listed on REVERSE SIDE CONTAMINATED KFR INFO on REVERSE SIDE <br /> EH 23 083(49/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />