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PHS/ JOAQUIN COUNTY - ENVIRONMENTAL HEALTHiDIV15// <br /> { LOP PROGRAM - MFR INPUT FORM <br /> UPDATE J �?� BY <br /> REVIEWED BY DATE ENTERED ® 4 1993 BY <br /> ADDITION• EDIT: <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> I <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE 3�z8 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 939000 SUBSTANCE Ili i� <br /> SITE CODE jG�I SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM T / N <br /> r <br /> SITE NAME DATE REPORTED <br /> ADDRESS t DATE CONFIRMED <br /> i CITY CA ZIP ; MULTIPLE RPfs Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS-CHANGE-DATE: EMERGENCY RESPONSE <br /> U 6) G D 1 2 3 4 5 6 7 <br /> RP SEARCH S I M R DATE UNDERWAY j{ COMPLETED <br /> iN <br /> 1 <br /> 4 <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY �i COMPLETED <br /> iY <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY i COMPLETED } <br /> I y <br /> REMEDIAL ACTION U I C' DATE UNDERWAY i� CC14PLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 21 <br /> 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R �1 W G 0 <br /> i I ! q <br /> EXCAVATION STARTED CASE CLOSED R C L DATE CLOSE j(�U3 <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> 11 <br /> Primary / Additional RESPONSIBLE PARTY <br /> r1' PHONE <br /> COMPANY NAME j <br /> CONTACT NAME PHONE <br /> r <br /> ADDRESS <br /> f CITY STATE ZIP <br /> i� <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> I� <br /> 89-20(lY)Ol/90 PILMFA <br /> EN 23 083(09/89)REVISED 8/92 .4 <br />