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PHS/ JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DIVI MAY 3 11994 <br /> _ LOP PROGRAM - MFR INPUT FORM I <br /> i <br /> UPDATEZ y gy BY ��'_ ,fJ REV IEIIED 8Y DATE ENTEREDF_-JUL 12 ' I BY <br /> �'hf� ADDITION: EDIT: <br /> Ll <br /> ENTERED LOP SJ/PHS CONTACT 14 PRIORITY <br /> NOR SENT /L/__Q�G LOC CODE PROGRAM/ELEMENT CODE Z <br /> SITE SPECIFIC QUARTERLY REPORT INFORMATION <br /> CONTRACTOR 039000 / SUBSTANCE #11 ���� �21 <br /> SITE CODE Z � r SOURCE OF FUNDS S / F." FED EXEMPT Y / N PETROLEUM / N <br /> SITE NAME /n DATE REPORTED <br /> ADDRESS DATE CONFIRMED <br /> M <br /> CITY CA ZIP / rJ.41, MULTIPLE RP's Y / N <br /> SITE STATUS <br /> CASE TYPE CONTRACT STATUS STATUS CHANGE DATE EMERGENCY RESPONSE <br /> U G 0 1 2 f 3 J 4 5 6 7 8 <br /> RP SEARCH �S I N R DATE UNDERWAY COMPLETED <br /> PRELIMINARY ASSESSMENT 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 l y N ENFORCEMENT TYPE 1 2 3 4 5 6 DATE ACTION TAKEN' <br /> LUFT CONSIDERATIONl 1 J 0 �•``.� <br /> EXCAVATION STARTED 11CASE CLOSED Y R }C �L\ DATE CLOSED w <br /> 1 5' <br /> MEDIAL ACTION TAKEN CD CB ED E FP GT IT RS HU . Nd VS 1VE NT " OT UK <br /> Primary / Additional RESPONSIBLE PARTYY <br /> 'FPANYR!E !2 0l�'(�. C� PHONE x(-�-/4) J 3 <br /> CONTACT Nf,Mf `�� G PHONE 6, J U J s- <br /> � J I <br /> ADDRESS <br /> CITY /] . . �J STATE ZIP '] i <br /> %Additionat RP's listed on REVERSE SIDE 66NTAMINATED MFR INFO on REVERSE SIDE ; <br /> EH 23 083(09/89)REVISED 8/92 89-20(IV)01/90 PILMFA + <br />,� I <br />