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J _ <br /> PHS/ OAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIS <br /> . <br /> LOP PROGRAM - MFR INPUT FORM _ x <br /> UPDATE BY [REVIEWED BY DATE ENTERED MAY 2 8 1993 BY <br /> ADDITION - - E � s <br /> ENTERED PILOT SJ/PHS CONTACT- SWEEPS PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT.,CODE., �5z <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # F39000 SUBSTANCE #1 V5 <br /> SITE CODE IG1 !2, SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> q � w <br /> SITE NAME_. DATE REPORTED <br /> ADDRESSu - <br /> O i DATE CONFIRMED <br /> CITY CA ZIP X5204 MULTIPLE RP's Y / N <br /> k' #SITE STATUS vLV <br /> t CASE TYPE *" CONTRACT STATUS" STATUS CHANGE,DATE-_ _EMERGENCY RESPONSE <br /> U © G D 1 2 ' 3 4 5 7 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED' ' <br /> PRELIMINARY ASSESSMENT M U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U DATE UNDERWAY PLETED _ -Zb <br /> REMEDIAL ACTION ..0 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 �t� R H fDATD , <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME P? PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS d <br /> CITY <br /> TSTATE <br /> ZIP <br /> Additional RP's listed on REVERSE SIDE r CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 - 89-20(IV)01/90 PILMFA <br />