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PHS/SJOAQUIN COUNTY --ENVIRONMENTAL HEALTH D,IVISIVJ ' <br /> s f <br /> LOP PROGRAM:= MFR IINPUT. FORM. <br /> i <br /> BY <br /> By <br /> UPDATE �-' BY ��JG REVIEWED BY GATE ENTERED <br /> AADITION:_.L�—EDIT:- <br /> SJ/PHS <br /> CONTACT?01 <br /> i /�/ SWEEPS # !D PRIORITY <br /> ENTERED PILOT c� aG Gt <br /> R I=S-tT <br /> LOC CODE PROSRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION " <br /> O03 <br /> s. 5 <br /> CONTRACTOR 39000 SUBSTANCE #1 J} <br /> SOURCE OF FUNDS / F "� FED EXEMPT Y' / PETROLEUM / N <br /> SITE CODE D 7� <br /> ' r DATE REPORTED <br /> SITE NAME ^ Q <br /> d <br /> DATE Ce3 Y1 <br /> ADDRESS ONFIRMED <br /> e' <br /> CITY CA 2IP C�c� �� MULTIPLE RP's Y / <br /> c77 4 <br /> SITE STATUS <br /> i <br /> CASE TYPE CONTRACT STATUS I. STATUS CHANGE DATE EMERGENCY RESPONSE <br /> 4 <br /> 5 7' 8 9 <br /> II s 09, a 4 <br /> 1 2 G <br /> -C 0- <br /> OMPLETED <br /> RP <br /> RP SEARCH I N R DATE UNDERWAY / <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY D l COMPLETED <br /> \ / I <br /> ` ! <br /> COMPLETED <br /> _ <br /> REMEDIAL INVESTIGATION �/' "U�1� � y DATE UNDERWAY <br /> C DATE UNDERWAYf COMPLETED <br /> REMEDIAL ACTION <br /> U <br /> POST REM ACT MONITORING Y N' U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN t- y ,.� N ENFORCEMENT TYPE 1 - 2 3 4 5 51 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2T 31 �' LL�- A ~- �UW <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE ,CLOSED <br /> ` a . . <br /> REMEDIAL ACTION TAKEN CD CS ED ET '",� FP GT FIT RS HU NA VS <br /> Primary / Additional RESPONSIBLE,PARTY <br /> 4 <br /> IL <br /> COMPANY NAME PHONE <br /> CONTACT NAME // PHONE �D <br /> ADDRESS �/ �''�• .� , <br /> CITY t STATE 2IP <br /> D 4 <br /> h <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE,SIDE. <br /> FH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />