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PHI" JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVIH <br /> LOP PROGRAM - MFR INPUT FORM <br /> SATE <br /> ISY <br /> REVIEWED 8Y DATE ENTERED JAN 0 6 7995 <br /> ADDITION: EDIT: tea+ <br /> EMTEM LOP . SJ/PNS CONTACT PRIORITY <br /> 77 <br /> s✓ <br /> MOR SENT ©/, /u/� �,Jrr LOC CODE DIST PROGRAM/ELEMENT CODE <br /> (/ SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR / 39000 SUBSTANCE 91 120-64 I tl-c 3 <br /> SITE CODE 1 1 at SOURCE OF FUNDS S / FED EXEMPT Y / 1!iD PETROLEUM / N <br /> SITE MAZE 50wice DATE REPORTED 4- 8-gs <br /> ADDRESS DATE CONFIRMED <br /> CITY CA ZIP qr <br /> 40 MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> Uej> dD D 1 -(�b 3 4 5 6 7 8 <br /> RP SEARCH ® I N R DATE UNDERWAY 1 Z_ 1 COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY 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 2 3 4 5 6 DATE//ACTION TAKEN <br /> LOFT CONSIDERATION 1 © 3 H� 5� R W G 0 �f <br /> EXCAVATION STARTED CASE CLOSED TY R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE MT OT <br /> Primary ! Additional RESPONSIBLE PARTY <br /> GOMPA"NAME 1 Um S PHONE <br /> CONTACT NAME PHONE <br /> 'pOREss .`t3i 8�� <br /> CITY Dl STATE CA ZIP asyZo <br /> Additionst RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EN 23 00(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />