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PHS/SAN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI" <br /> LOP PROGRAM - MFR INPUT FORM <br /> UPDATE BY Of REVIEWED BY DATE ENTERED d ` ° By];76 <br /> ADDITION:- EDIT: <br /> ENTERED LOP 0 q/ SJ/PHS CONTACT PRIORITY <br /> NOR SENT / LOC CODE DIST PROGRAM/ELEMENT CODE I 3S]a <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR # F39000 SUBSTANCE #1 2 3 1 15 <br /> SITE CODE �(� SOURCE OF FUNDS S / F FED EXEMPT Y / N PETROLEUM Y / N <br /> SITE NAME /,'Ca2� DATE REPORTED <br /> ADDRESS Vl DATE CONFIRMED ( Q <br /> CITY ca CA 21P S� MULTIPLE RPIs Y / N / <br /> SITE STATUS J <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 S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSKENT U C DATE UNDERWAY 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 DATE ACTION TAKEN <br /> LUFT CONSIDERATION 1 2 3 H S C A R W G 0 <br /> 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 HT OT UK <br /> C1' C1� /;�� Primary / Additional RESPONSIBLE PARTY <br /> ®r <br /> COMPANY NAME (0-y\ p C�p PHONE <br /> CONTACT NAME l �- '/~�" � PHONE <br /> ADDRESS ''J ' � � �v- <br /> C[TY STATE 2IP 19S-32-0-�O <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 />