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PHSP–.1 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI4-..7 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE '1 Ili <br /> IBY REVIEWED BY DATE ENTERED r+•�• �j B <br /> !. <br /> ADDITION:— EDIT: <br /> ENTERED LC9 SJ/PHS CONTACT PRIORITY <br /> KOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE S <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR V 39000 SUBSTANCE 01 2 3 <br /> SITE CODE C SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAgE �(/ � DATE REPORTED <br /> ADDRESS -e— DATE CONFIRMED <br /> AiLs <br /> CITY CA ZIP MULTIPLE RP's Y ! N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS/CHANGES DATE EKERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 6 7 8 7 <br /> RP SEARCH S I W R DATE UNDERWAY f` COMPLETED <br /> PRELIMINARY ASSES%:E NT U `( C '} DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U C " DATE UNDERWAY CCCAPLETED / <br /> REMEDIAL ACTION U i C DATE UNDERWAY CCCIPLETED <br /> POST REM ACT =JITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y H ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATIM 1 2 3 H S C A R W G 0 / <br /> EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED 7 /0Z/ <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NA4E PHONE <br /> CONTACT NAI"E PHONE <br /> ADDRESS <br /> CITY STATE 21P <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 />