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P%AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIv"1.ON JUN 2 1 199 3 <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE `G Q, 19Y �%/_ REVIEWED BY DATE ENTERED BY <br /> ADDITION: EDIT: <br /> ENTERED PILOT 10 61,-Z SJ/PHS CONTACT SWEEPS # PRIORITY <br /> NOR SENT (((( LOC CODE DIST PROGRAM/ELEMENT CODE <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # 39000 SUBSTANCE 91 95 <br /> SITE CODE SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME ,�/� ,_ / n J/ � DATE REPORTED <br /> ADDRESS LJ L/Vl-tC�V�1.C3,� DATE CONFIRMED <br /> CITY CA ZIP �, MULTIPLE RP's T / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U S G D 1 2 3 4 5 7 a � � I <br /> RP SEARCH S I N /7R� DATE UNDERWAY COMPLETED <br /> �/ <br /> PRELIMINARY ASSESSMENT U l C) DATE UNDERWAY COMPLETED <br /> REMEDIAL INVESTIGATION U 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 DATE ACTION TAKEN <br /> LOFT CONSIDERATION 1 2 3 H S C A R W G 0 \ <br /> EXCAVATION STARTED CASE CLOSED Y R H TE CL ED <br /> REMEDIAL ACTION TAKEN Co CB ED ET FP GT IT RS HU NA VS <br /> Primary / Additional RESPONSIBLE PARTY <br /> COMPANY NAME PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <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 />