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P6,,." JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DI, �1 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 7 _ p BY �+� REVIEWED BY DATE ENTERED BY <br /> ADDITION• EDIT: <br /> ENTERED LOP 3 SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODEDIST 0 0 PROGRAM/ELEMENT CODE 3 5 2 7 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 1 ?DG(,(o19 2 Ia�Oc�� <br /> SITE CODE SOURCE OF FUNDS S / FED EXEMPT Y / V [fROLEUI Y ! N <br /> SITE MAME 4- DATE REPORTED <br /> ADDRESS �`-C' R w[A DATE CONFIRMED <br /> CITY S U � CA ZIP S Z 0 3 MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U 0 G 0 1 2 3 4 5 6 7 8 <br /> RP SEARCH L / 1 N R DATE UNDERWAY 1_ 8- COMPLETED <br /> 3 PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY CCMPLETED <br /> POST REM ACT NMI TORING N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y M ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACT] TAKEN <br /> LUFT CONSIDERATION 1 2 (3) S C A R W G 0 <br /> EXCAVATION STAR"ED CASE CLOSED Y 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 /> CDNTACT NAME PHONE <br /> ADDRESS <br /> 21P <br /> AdditionaL RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)RF.VISED 8/92 89-20(IV)01/90 PILMFA <br />