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PH JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVW.4 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY � G. REVIEWED BY DATE ENTERED q BY KJ6 <br /> ADDITION: EDIT: <br /> ENTERED PILOT p �2 SJ/PHS CONTACT r f SWEEPS # 9PRIORITY <br /> NOR SENT C LOC CODJEO 1 /DIISTT/ 31 SWEEPS <br /> CODE !'..? %' O <br /> i <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 1 4W f rF`" 7�� 5 <br /> SITE CODE zz=SOURCE OF FUNDS / F FED EXEMPT Y / PETROLEUM O / N <br /> SITE NAMEDATE REPORTED <br /> ADDRESS DATE CONFIRMED 7 L7� <br /> r ! C <br /> CITY CA l <br /> ZIP ���d7 MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U OS G D 4 5 7 8 9 7 ` L Z <br /> RP SEARCH S 1 N R DATE UNDERWAY v COMPLETED ZIP <br /> PRELIMINARY ASSESSMENT /U J C DATE UNDERWAY pz COMPLETED <br /> REMEDIAL INVESTIGATION U DATE UNDERWAY G 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 ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 300 <br /> C p"\ <br /> W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CO C8 ED ; ET FP' GT IT RS HU NA VS <br /> primary / Additional RESPONSIBLE PARTY <br /> tiIn N <br /> COMPANY NAME PHONE <br /> CONTACT NAME r r. PHONE <br /> ADDRESS <br /> CITY � � STATE ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> 89-20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 11/90 <br />