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PHL- A JOAQUIN COUNTY - ENVIRONMENTAL HEALTH D1Vrri0.N <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 15— M- 2 1 <br /> BY 1 #9 REVIEWED BYT- I DATE ENTERED �3 �� BY <br /> ADDITION: EDIT: <br /> ENTERED LOP SJ/PHS CONTACT PRIORITY <br /> NOR SENT LOC CODE DIST PROGRAM/ELEMENT CODE Z 92/_ <br /> SITE SPECIFIC QUARTERLY REPORT INFOR14ATION (� <br /> CONTRACTOR # 39000 SUBSTANCE 01 <br /> SITE CODE �l(y/L SOURCE OF FUNDS S / F FED EXEMPT Y / H IPETROLEUN Y / N <br /> SITE NAME &X+ fjwUa�\ <br /> DATE REPORTED <br /> ADDRESS 'I DATE CONFIRMED <br /> CITY 1� ICA IZIP �c)7.^� MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S 0 D 1 2 3 4 © 7 8 9 n <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY ,240 COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY ` COMPLETED <br /> REMEDIAL ACTION U I C DATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN N ENFORCEMENT TYPE 6) 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> —T— <br /> EXCAVATION STARTED 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 PHONE <br /> CONTACT NAME 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 11/90 89-20(1V)01/90 PILMFA <br />