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1 PHS/SAN ;7T;iiQUIN COUNTY —ENVIRONMENTAL HEALTH DIVISION <br /> LOP PROGRAM - MFR INPUT FORM w. <br /> LIPOATE T[ <br /> BY 0C- REVIEWED BY£ DATE ENTERED ��� BY J7 k I <br /> I ADDITION: EDIT• <br /> ENTERED LOP `C S.1/PHS CONTACT !Mlt�—z �� C PRIORITY <br /> NOR SENT 2 LOC CODE DIST �y� PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #16 <br /> SITE CODE /� SOURCE OF FUND5 S / OIFED EXEMPT / N PETROLEUM <br /> SITE NAME / / DATE REPORTED AM� <br /> 46 <br /> vv o <br /> ADDRESS �/J/�/` j�j��. - DATE CONFIRMED6 z <br /> �J F <br /> CrA ZIP �J D MULTIPLE RP's Y / <br /> CITY G r I <br /> K <br /> SITE .STATUS ,;ib <br /> CASE TYPE CONTRACT STATUS ";y STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U Ds <br /> G 0 .1 2 3 4 5 6 7 8 <br /> RP SEARCHS 1_ N R DATE.UNDERWAY ` COMPLETED .5�f <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY 3 COMPLETED rJ ,4/ <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED " <br /> mi <br /> REMEDIAL ACTION U I C, DATE UNDERWAY ! COMPLETED <br /> POST REM ACT MONITORING Y H U C DATE UNDERWAY I COMPLETED <br /> ENFORCEMENT ACT TAKEN Y ENFORCEMENT TYPE 1 2 3 4 j 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3, H �OQC) A Y. W+ 'G `` 0 <br /> EXCAVATION STARTED, CASE CLOSED Y R C L DATE,CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET GT IT _ - RS - HU NAS VS VE, -N7 i OT UK <br /> "x Primary / Additional RESPONSIBLE PARTY 1J <br /> J 11 A,19q 3--Z-6 <br /> COMPANY NAME PROVE O' <br /> CONTACT NAMEd 4:: L. PHONE, <br /> ADDRESS C� �� �; T +G7'�Z - O <br /> C � a= <br /> /,% a; k_ STATE <br /> CITY ZIP��� i ��/,• _. � <br /> " Additional RPIS listed on REVERSE SIDE <br /> } CONTAMINATED MFR INFO on REVERSE SIDE <br /> 89-20(IV)01/90 PILMFA <br /> EH 23 D83(09/89)REVISED 8/92 <br />