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PHS�A JOAQUIN COUNTY - ENVIRONKENTAL HEALTH DIV.r 0Y <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY REVIEWED BY Ili-, <br /> DATE ENTERED BY <br /> ADDITION: EDIT: <br /> ENTERED LOP SJ/PHS CONTACT r PRIORITY <br /> NOR SENT DC� O� LOC CODE 101 Z ;.�;ii°IEHENI COOS 76 <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION G' <br /> CONTRACTOR # 39000 SUBSTANCE #1 0 <br /> 2c, <br /> SITE CODE L�:a SOURCE OF FUNDS S / FED EXEMPT Y / (!�> PETROLEUM / N <br /> SITE NAME Q DATE REPORTED <br /> ADDRESS / DATE CONFIRMED C <br /> CITY FcATzip <br /> ,o30 MULTIPLE RP's Y / <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> ti <br /> U S G D 1 2 3 4 5 T 8 9 <br /> RP SEARCHF S 1 N R DATE UNDERWAY 2 COMPLETED <br /> 74 <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY d 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 TYPE 1 2 3 4 5 6 DA -AQUONAJKEN <br /> LOFT CONSIDERATION 1 2 C3) H S C A R 0/w G 0 /) <br /> EXCAVATION STARTED CASE CLOSED Y R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN F CD CB ED ET FP GT IT RS HU HA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME 46e <br /> PHONE <br /> CONTACT NAME O PHONE C <br /> ADDRESS <br /> CITY STATE ZIP <br /> e-v - A — <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(IV)01/90 PILMFA <br />