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PHS>ww1 JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI4�1 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY REVIEWED BY DATE ENTERED BY <br /> s <br /> ADDITION: EDIT• <br /> ENTERED LOP o`1-ql SJ/PNS CONTACT PRIORITY <br /> NOR SENT � , GJ q LOC CODE DIST `S PROGRAM/ELEMENT CODE 3 <br /> // SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE #1 ��6 2 3 <br /> SITE CODE 5 :5,2,d-1 SOURCE OF FUNDS S / FED EXEMPT Y / PETROLEUM Y 1 / N <br /> SITE NAME DATE REPORTED L (C <br /> ADDRESS oC DATE CONFIRMED Y/" <br /> CITY CA ZIP 1 5 3 �p MULTIPLE RP's Y / <br /> SITE STATUS 1 <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U (S G D 1 2 /3 } 4 5 6 7 8 <br /> RP SEARCH <br /> JJ ns <br /> I N R DATE UNDERWAY Q Ic y COMPLETED �'oZ•S/�y <br /> PRELIMINARY ASSESSMENT C DATE UNDERWAY QO jd-L4 11Icl 1q COMPLETED <br /> REMEDIAL INVESTIGATION U C DATE UNDERWAY COMPLETED <br /> REMEDIAL ACTION U I CDATE UNDERWAY COMPLETED <br /> POST REM ACT MONITORING Y N U C DATE UNDERWAY COMPLETED <br /> ENFORCEMENT ACT TAKEN Y N EN <br /> FORCEMENT TYPE O1 2 3 4 5 6 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 e 0 CO G R W G 0 , .EXCAVATION STARTED CASE CLOSED Y R C L DATE CLOSED <br /> REMEDIAL ACTION TAKEN CD CS ED ET FP GT 1T RS HU NA VS VE NT OT UK <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME wjZt7l_� W PHONE <br /> CONTACT NAME PHONE (305 ) S,�3 <br /> ADDRESS x r w u-7 <br /> CITY ` -�� 6`-ti•� V STATE t— ZIP 3 3 <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 />