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Pil JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV�ON <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE �� BY REVIEWED BY ATE ENTERED BY <br /> ADDITION: EDIT:__ <br /> PRIORITY <br /> ENTERED LOP i 2I�2 SJ/PHS CONTACT TC��/' <br /> NOR SENT LOC COD ( DIST PROGRAM/ELEMENT CODEC <br /> SITE SPECIFIC OUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 399000 SUBSTANCE #1 I 70zj <br /> SITE CODE D 3 ` SOURCE OF FUNDS S / /F FED EXEMPT Y / /N l PETROLEIM <br /> SITE NAME �DATE REPORTED 6-L4 <br /> i <br /> ADDRESS ,�1 �� ���-I �I�� DATE CONFIRMED <br /> CITY lJ CA 2IPO/ <br /> P Ct� �� MULTIPLE RP's N <br /> b <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> u S 8 9 <br /> c D 1 2 '�� <br /> RP SEARCH S I N R DATE UNDERWAY I Gi Z COMPLETED <br /> PRELIMINARY ASSESSMENT ' C DATE UNDERWAY 1 g COMPLETED ,/Ta <br /> REMEDIAL INVESTIGATION C DATE UNDERWAY '-/ �I c COMPLETED O / <br /> REMEDIAL ACTION U I C DATE UNDERWAY / UUU COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY CC14PLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 HC A R <br /> EXCAVATION STARTED <br /> CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION-TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> __Primary / __Additional RESPONSIBLE PARTY <br /> COMPANY NAME iO4ocA(--9 <br /> PHONE CONTACT NAME PHONE <br /> ADDRESSCITY STATE �,+- ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE %S <br /> 89-20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 11/90 <br />