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PHS/*4#eJOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIL*0 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE /� -� BY REVIEWED BY C- / DATE ENTERED ` 9��� BY <br /> ADDITION• EDIT: <br /> — <br /> ENTERED PILOT • Z?3 .4 O SJ/PHS CONTACT 5. (;Ctt4-,,j0-)-),q,� SWEEPS # /Z/ PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 5 <br /> SITE CODE SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME ` Z1 ,3- �� L �+ �ry,,� DATE REPORTED <br /> ADDRESS 60 �(JWt q`t5v� /. DATE CONFIRMED <br /> VV � IN <br /> CITY q�, ��.1 CA ZIP 9 7,0,< MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7� 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY 9/2; 0 COMPLETED Cj M <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED ! 3O fo <br /> REMEDIAL INVESTIGATION U gtG DATE UNDERWAY 11,30 lqo COMPLETED 9 Ijq lq 1 <br /> REMEDIAL ACTION U I C DATE UNDERWAY C� !y /Cr' 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 Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD C8 ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> Additional RP's Listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 11/90 89-20(IV)01/90 PILMFA <br />