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PHS/ JOAQUIN COUNTY ENVIRONMENTAL HEALTH D1VI <br /> 4 CAP PROGRAM.- MFR:INPUT FORM t <br /> � .UPDATEI ''lll BY REVIEWED BY DATE ENTERED ! �/ By <br /> I ADDITION: EDIT: 1 <br /> SITE CODE 3 E PROGRAM/ELEMENT 29 LOC CODE DIST PRIORITY <br /> ENTERED CAP . L1� SJ/EH. CONTACT � INITIAL REVIEW FEE PD <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> SUBSTANCE #1 �21 fA PETROLEUM 0 / N <br /> FED EXEMPTY / LEAD AGENCY PUBLIC COMMENT PERIOD <br /> SITE NAME DATE REPORTED <br /> ADDRESS O' y_ DATE CONFIRMED <br /> CITY 0 CA. ZIP MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE 5ITE STATUS "- �. STATUDATE EMERGENCY RESPONSE <br /> U 0 G D 1 2 3 4 . 5 7 <br /> RP SEARCH S I, N,. R DATE UNDERWAY 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 COMPLETEDr <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 1 2 3 4 5 6DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CL05ED AY R H C DATE CLOSED r9 „ <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU SNA J / VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME Y PHONE <br /> CONTACT NAME PHONE . <br /> ADDRESS <br /> CITY STATE IIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 29 32 (03/91)Revised 8/91 CAPMFR <br />