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PHS] JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIV1 I <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE REVIEWED BY ? DATE ENBYJa�=sy ^h^f►4 ADDITION: <br /> PRIORITY <br /> SJ/PHS CONTACT <br /> SENT LOC CODE 4j DIST D 0 C, PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 1 2 3 2 <br /> 51 TF- ECODE� �j�� SOURCE OF FUNDS FED EXEMPTPETROLEUM ( T J / N <br /> SITE NAME �nflbll O4� 1� �L,�-� DATE REPORTED ,, �• �� <br /> ADDRESS LLI�Q DATE CONFIRMED5 y <br /> v <br /> CITY G CA ZIP MULTIPLE RP's / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S D 1 2 3 4 5 b 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 COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPEl J4 r 1 2 3 4 5 6 - DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> EXCAVATION STARTED CASE CLOSED Y R ` ! C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS VE NT OT UK <br /> Primaryi/� AdditionaL RESPONSIBLE PARTY ' <br /> COMPANY NAME i ry'% 1 1 Ol �} Cor ' PHONE <br /> CONTACT NAME -p J e a� PHONE I f Q <br /> ADDRESS DO V3. tqD b ice• P T, Z: <br /> CITY '-rd v-v- TSTATE IC ' ZIPa-gZ- <br /> Additional RP'slisted on REVERSE SIDE L� CONTAMINATED MFR INFO on REVERSE SIDE,, <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />