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PHboON JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVvwoON <br /> LOP PROGRAM - MFR INPUT FORM <br /> E <br /> E <br /> By REVIEWED 8Y DATE ENTERED <br /> v El <br /> ADDITION: L�L EDIT* <br /> .- <br /> ENTERED ESJ/PHSNTACT PRIORITY <br /> ENTERED LOP NOR SENT //D � DIST PROGRAM/ELEMENT CODE <br /> !!l vvv SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 / L,33 r 2 <br /> SITE CODE f 3 C/I( SOURCE OF FUNDS S / FED EXEMPT Y / 01 PETROLEUM © I w <br /> SITE NAME /- � DATE REPORTED 5/3!/ D <br /> ADDRESS �jLl �. � m r DATE CONFIRMED VO4 <br /> CITY CA ZIP �1s� Ml1LTIPLE RP's Y / <br /> SITE STATUS <br /> C Y E RACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U G 0 1 2 3 4 5 6 T 8 <br /> RP SEARCH 1 N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY �r] 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 f 1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 3 /5 J C A R u G 0 <br /> EXCAVATION STARTED CASE CLOSED I - Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKENCD CB ED E7 FP GT IT RS HU NA VS VE NT OT UK <br /> primary / Additional RESPONSIBLE PARTY Art f ow, <br /> COMPANY NAME PHONE <br /> Z7 K 441 Lf- <br /> CONTACT NAME �J f / PHONE <br /> ADDRESS <br /> CITY _A STATE ( ZIP /->c�V) <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA <br />