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PHSA,_ JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVISt� <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE 1,2—'U, BY A� REVIEWED BY 1--,;o/-4DATE <br /> ENTERED � B <br /> ADDITION• EDIT:— <br /> ENTERED PILOT SJ/PNS CONTACT 1f U KMA SWEEPS # PRIORITY <br /> NOR SENT LOC CODE DIST 3 g PROGRAM/ELEMENT CODE <br /> SITE'/SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # F39000 SUBSTANCE #1 /�� � 5 <br /> SITE CODE 949 SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Sf / N <br /> SITE NAME G �/�� }�"� �. ��/ DATE REPORTED 3• �, <br /> ADDRESS ���� S, �� �� DATE CONFIRMED <br /> CITY j� CA ZIP a / MULTIPLE RP's Y / U <br /> SITE STATUS •I l� <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 8 9 <br /> RP SEARCH S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT U C DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U g(G DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I �C DATE UNDERWAY /D���. COMPLETED z—/?i I 3 <br /> POST REM ACT MONITORING Y U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N ENFORCEMENT TYPE 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 Q/ CASE CLOSED R H DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CB ED ET FP GT IT RS HU NA VS <br /> primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME /1 / <br /> PHONE <br /> CONTACT NAME G�J�. ice J � PHONE 5•��f 93� <br /> ADDRESS <br /> .•' <br /> CITY STATE �� ZIP <br /> Additional RP's listed on REVERSE SIDE CONTAMINATED MFR INFO on REVERSE SIDE <br /> 89-20(IV)01/90 PILMFA <br /> EH 23 083(09/89)REVISED 11/90 <br />